Organization
HOLLAND HAVEN LLC
Active
Other names
Holland Haven
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR BAIN (ADMINISTRATOR)
(920) 585-4050
Entity
Organization
Contact information
Practice address
12844 RENWOOD DR, HOLLAND, MI 49424-9279
(920) 585-4050
Mailing address
368 BEECH ST, HOLLAND, MI 49424-1948
(920) 585-4050
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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