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Organization
HERITAGE HOMES, INC.
Active
Organization
HERITAGE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN NOORDIJK (EXECUTIVE DIRECTOR)
(616) 395-9311
Entity
Organization
Contact information
Practice address
400 136TH AVE, BLDG. 200, STE. 205, HOLLAND, MI 49424-2923
(616) 395-9311
(616) 395-9315
Mailing address
400 136TH AVE, BLDG. 200, STE. 205, HOLLAND, MI 49424-2923
(616) 395-9311
(616) 395-9315
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AM700009394
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS080078811
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS700012873
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS700012884
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS700066904
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS700067923
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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