Organization
BARUCH SLS, INC.
Active
Parent organization
BARUCH SLS, INC.
Other names
Cedar Cove Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
BARUCH SLS, INC.
Authorized official
CONNIE L CLAUSON (VP OPERATIONS)
(616) 285-0573
Entity
Organization
Contact information
Practice address
266 MARY L STREET, CEDARVILLE, MI 49719
(906) 484-1001
(906) 484-1013
Mailing address
3196 KRAFT AVE SE STE 203, GRAND RAPIDS, MI 49512-2065
(616) 285-0573
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL490272808
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23D1075173
CLIA ID
MI
Enumeration date
04/23/2007
Last updated
09/25/2020
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