Organization
HEARTLAND - CRESTVIEW MI LLC
Active
Other names
Heartland Health Care Center - Crestview
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
625 36TH ST SW, WYOMING, MI 49509-4004
(616) 531-0200
(616) 531-0407
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
414070
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605290057
—
MI
Enumeration date
06/06/2006
Last updated
06/02/2017
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