Organization
AHSL HOLLAND OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GILLETTE NHA (CHIEF OPERATING OFFICE)
(248) 203-1800
Entity
Organization
Contact information
Practice address
11909 JAMES ST, HOLLAND, MI 49424-9658
(616) 393-2174
Mailing address
6755 TELEGRAPH RD, SUITE 330, BLOOMFIELD HILLS, MI 48301-3180
(248) 203-1800
(248) 203-2929
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 700365139
MI
310400000X
Assisted Living Facility
AL 700365141
MI
310400000X
Assisted Living Facility
AL 700365143
MI
310400000X
Assisted Living Facility
AL 700365144
MI
311500000X
Alzheimer Center (Dementia Center)
AL 700365142
MI
311500000X
Alzheimer Center (Dementia Center)
AL 700365145
MI
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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