Organization
HOMELIFE, INC
Active
Parent organization
HOMELIFE, INC
Other names
6457 Sprinkle 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
6457 NORTH SPRINKLE ROAD, KALAMAZOO, MI 49004-8646
(269) 488-8118
(269) 488-8116
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
AS390380356
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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