Organization
HACKLEY COMMUNITY CARE CENTER INC
Active
Organization
HACKLEY COMMUNITY CARE CENTER INC
Active
Other names
Oakview Elementary School
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI WEGLARZ (COO)
(231) 733-6610
Entity
Organization
Contact information
Practice address
1826 HOYT ST, MUSKEGON, MI 49442-5640
(231) 733-6384
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 737-1335
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629066238
—
MI
Enumeration date
10/12/2020
Last updated
08/28/2023
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