# HEARTLAND-KNOLLVIEW MI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Health Care Center - Knollview
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679514970
- **Authorized official:** MR. MARTIN D ALLEN (DIRECTOR)
- **Authorized official phone:** (419) 252-5734

## Contact information

- **Practice address:** 1061 W HACKLEY AVE, MUSKEGON, MI 49441-3059
- **Practice address phone:** (231) 755-2255
- **Practice address fax:** (231) 759-7612
- **Mailing address:** 333 N SUMMIT ST, TOLEDO, OH 43604-2615
- **Mailing address phone:** (419) 252-5500
- **Mailing address fax:** (877) 385-9446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 614050 | MI | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 05/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 605262651 | — | MI |