Organization
BARUCH SLS, INC.
Active
Other names
Tecumseh Place
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE L CLAUSON (VP OPERATIONS)
(616) 285-0573
Entity
Organization
Contact information
Practice address
1311 SOUTHWESTERN DR, TECUMSEH, MI 49286-1233
(517) 423-1141
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
—
23D2147652
CLIA
MI
Enumeration date
09/25/2020
Last updated
09/25/2020
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