Organization
BARUCH SLS, INC
Active
Other names
Heron Senior Community
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE L CLAUSON (CHIEF OPERATIONS OFFICER)
(616) 285-0573
Entity
Organization
Contact information
Practice address
2106 LEONARD ST NE, GRAND RAPIDS, MI 49505-5857
(616) 818-4509
(616) 818-4497
Mailing address
2106 LEONARD ST NE, GRAND RAPIDS, MI 49505-5857
(616) 818-4509
(616) 818-4497
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/13/2024
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