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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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