Organization
ATRIUM HERITAGE LLC
Active
Other names
Heritage Nursing and Rehabilitation Community
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LOCKHART (CHIEF ACCOUNTING OFFICER)
(614) 416-0600
Entity
Organization
Contact information
Practice address
320 E CENTRAL AVE, ZEELAND, MI 49464-1706
(616) 772-9191
(616) 772-1459
Mailing address
320 E CENTRAL AVE, ZEELAND, MI 49464-1706
(616) 772-9191
(616) 721-4597
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
70-4110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09533
BCBS PROVIDER CODE
MI
05
—
60 1888699
—
MI
Enumeration date
07/12/2005
Last updated
03/03/2025
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