Organization
HOLLAND HOME
Active
Parent organization
HOLLAND HOME
Other names
Holland Home - Breton Rehabilitation & Living Centre
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOLLAND HOME
Authorized official
MR. ADAM KINDER (CFO)
(616) 235-5015
Entity
Organization
Contact information
Practice address
2589 44TH STREET, KENTWOOD, MI 49512-3877
(616) 235-2500
(616) 235-2514
Mailing address
2589 44TH STREET, KENTWOOD, MI 49512-3877
(616) 235-2500
(616) 235-2514
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
14117
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09658
BCBS OF MICHIGAN
—
05
—
2702700
—
MI
Enumeration date
05/19/2006
Last updated
04/29/2021
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