Organization
RESTHAVEN
Active
Parent organization
RESTHAVEN
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTHAVEN
Authorized official
DEEDRE VRIESMAN (CEO/PRESIDENT)
(616) 796-3503
Entity
Organization
Contact information
Practice address
280 W 40TH ST, HOLLAND, MI 49423
(616) 796-3600
(616) 796-3609
Mailing address
948 WASHINGTON AVE, HOLLAND, MI 49423-5205
(616) 796-3500
(616) 796-3508
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03-405
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09912
BCBS
MI
05
—
2587831
—
MI
Enumeration date
06/30/2006
Last updated
08/14/2018
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