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Organization
HOLLAND HOME
Active
Organization
HOLLAND HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID TIESENGA (CFO)
(616) 235-5035
Entity
Organization
Contact information
Practice address
2100 RAYBROOK ST SE, SUITE 300, GRAND RAPIDS, MI 49546-5783
(616) 235-5000
(616) 235-5680
Mailing address
2100 RAYBROOK ST SE, SUITE 300, GRAND RAPIDS, MI 49546-5783
(616) 235-5000
(616) 235-5680
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
09/11/2025
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