Organization
BARUCH SLS, INC.
Active
Other names
Hale Creek Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE L CLAUSON (VP OPERATIONS)
(616) 285-0573
Entity
Organization
Contact information
Practice address
3191 M 65, HALE, MI 48739-8512
(989) 728-1300
Mailing address
3196 KRAFT AVE SE STE 203, GRAND RAPIDS, MI 49512-2065
(616) 719-5100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D2092937
CLIA
MI
Enumeration date
10/13/2020
Last updated
10/13/2020
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