Organization
BARUCH SLS, INC.
Active
Parent organization
BARUCH SLS, INC.
Other names
Fountain View of Grant - Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
BARUCH SLS, INC.
Authorized official
MR. CHRISTOPHER MURPHY (SECRETARY / TREASURER)
(616) 464-1564
Entity
Organization
Contact information
Practice address
50 S MAPLE ST, GRANT, MI 49327-8426
(231) 834-8202
Mailing address
50 S MAPLE ST, GRANT, MI 49327-8426
(231) 834-8202
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D0975379
MI
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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