institution
Baruch Sls, Inc.
Assisted Living Facility in Coopersville, Michigan
NPI 1578681300

Baruch Sls, Inc. is an Assisted Living Facility based in Grand Rapids, MI. Baruch Sls, Inc. practices in Coopersville, MI. The NPI Number for Baruch Sls, Inc. is 1578681300 and holds a License No. AL700070219 (Michigan).

The current practice location address for Baruch Sls, Inc. is 640 W Randall St, Coopersville, MI and can be reached out via phone at 616-997-9253 and via fax at 616-997-7234.

Location: 640 W Randall St, Coopersville, MI, 49512-2078
institution
Provider Profile Details
NPI Number
1578681300
Provider Name
Baruch Sls, Inc.
Credential
Provider Entity Type
Organization
Address
640 W Randall St, Coopersville, MI, 49512-2078
Phone Number
616-997-9253
Fax Number
616-997-7234
Provider Enumeration Date
03/27/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5197796 05 MI
5197876 05 MI
23D0975401 01 MI CLIA WAIVER ID
6967688 05 MI
institution
Provider Business Practice Location Address Details
Address
640 W Randall St
City
State
Zip
49404-1306
Phone Number
616-997-9253
Fax Number
616-997-7234
person
Provider Business Mailing Address Details
Address
640 W Randall St
City
State
Zip
49404-1306
Phone Number
616-997-9253
Fax Number
616-997-7234
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
AL700070219 (Michigan)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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