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Organization

HACKLEY COMMUNITY CARE CENTER INC

Active
Other names
Fruitport Middle School
Organization subpart
No

Provider details

NPI number
Authorized official
SHERI WEGLARZ (COO)
(231) 733-6610
Entity
Organization

Contact information

Practice address
3113 PONTALUNA RD STE A, FRUITPORT, MI 49415-9600
(231) 733-6809
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
10/30/2020
Last updated
10/30/2020
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