Organization
BARUCH SLS, INC.
Active
Parent organization
BARUCH SLS, INC.
Other names
Mallard Cove
Organization subpart
Yes
Provider details
NPI number
Legal business name
BARUCH SLS, INC.
Authorized official
CONNIE L CLAUSON (VP OPERATIONS)
(616) 285-0573
Entity
Organization
Contact information
Practice address
2801 CHARLEVOIX RD, PETOSKEY, MI 49770-9727
(231) 347-2273
Mailing address
3196 KRAFT AVE SE STE 203, GRAND RAPIDS, MI 49512-2065
(616) 285-0573
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D2147650
CLIA
MI
Enumeration date
09/25/2020
Last updated
02/20/2023
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