Organization
HEARTLAND OF HOLLAND MI LLC
Active
Other names
Heartland of Holland
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
493 W 32ND ST, HOLLAND, MI 49423-7201
(616) 396-1438
(616) 396-2276
Mailing address
333 N SUMMIT ST, ATTN: BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9362
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605262651
—
MI
Enumeration date
06/10/2006
Last updated
06/04/2008
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