Organization
HACKLEY COMMUNITY CARE CENTER, INC
Active
Organization
HACKLEY COMMUNITY CARE CENTER, INC
Active
Other names
Three Oaks Charter Academy
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE BLONDIN (CFO)
(231) 733-6657
Entity
Organization
Contact information
Practice address
1212 KINGSLEY ST RM 106, MUSKEGON, MI 49442-4025
(231) 737-1335
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
06/04/2021
Last updated
06/04/2021
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