Organization
HOMELIFE, INC
Active
Parent organization
HOMELIFE, INC
Other names
6595 Ravine Road AFC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOMELIFE, INC
Authorized official
MR. BARRY J. BRUNS (PRESIDENT)
(269) 660-0854
Entity
Organization
Contact information
Practice address
6595 RAVINE ROAD, KALAMAZOO, MI 49009-9075
(269) 488-3968
(269) 488-3969
Mailing address
5420A BECKLEY ROAD, PMB 360, BATTLE CREEK, MI 49015-4181
(269) 660-0854
(269) 660-0964
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS390287535
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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