Organization
HOMELIFE, INC.
Active
Parent organization
HOMELIFE, INC.
Other names
10633 West J Avenue
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOMELIFE, INC.
Authorized official
MR. BARRY J. BRUNS (PRESIDENT)
(269) 660-0854
Entity
Organization
Contact information
Practice address
10633 W J AVE, KALAMAZOO, MI 49009-8529
(269) 353-1809
(269) 353-1885
Mailing address
PMB 360, 5420A BECKLEY ROAD, BATTLE CREEK, MI 49015-4181
(269) 660-0854
(269) 660-0964
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS390252741
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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