Organization
HOMELIFE, INC.
Active
Parent organization
HOMELIFE, INC.
Other names
8038 Interlochen AFC
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
8038 INTERLOCHEN ST, KALAMAZOO, MI 49009-5909
(269) 353-6941
(269) 375-7969
Mailing address
PMB 360, 5402A 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
AS390080967
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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