# CCRC OPCO - HOLLAND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BROOKDALE SENIOR LIVING INC
- **Other names:** The Inn at Freedom Village
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568412690
- **Legal business name:** BROOKDALE SENIOR LIVING INC
- **Authorized official:** BRYAN RICHARDSON (CAO)
- **Authorized official phone:** (615) 221-2250

## Contact information

- **Practice address:** 145 COLUMBIA AVE, HOLLAND, MI 49423-2981
- **Practice address phone:** (616) 820-7400
- **Practice address fax:** (616) 820-7410
- **Mailing address:** 145 COLUMBIA AVE, HOLLAND, MI 49423-2981
- **Mailing address phone:** (616) 820-7400
- **Mailing address fax:** (616) 820-7410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 704011 | MI | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 10/09/2014