# HEATHER HILLS NURSING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heather Hills Rehabilitation and Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972848042
- **Authorized official:** BRETTON J BOLT (CEO)
- **Authorized official phone:** (301) 991-1388

## Contact information

- **Practice address:** 1157 MEDICAL PARK DR SE, GRAND RAPIDS, MI 49546-3686
- **Practice address phone:** (616) 949-7310
- **Practice address fax:** (616) 956-0973
- **Mailing address:** 954 RIDGEBROOK RD STE 130, SPARKS, MD 21152-9469
- **Mailing address phone:** (410) 387-0155
- **Mailing address fax:** (502) 213-9977

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2012
- **Last updated:** 07/21/2022