Organization
HEATHER HILLS NURSING, LLC
Active
Other names
Heather Hills Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRETTON J BOLT (CEO)
(301) 991-1388
Entity
Organization
Contact information
Practice address
1157 MEDICAL PARK DR SE, GRAND RAPIDS, MI 49546-3686
(616) 949-7310
(616) 956-0973
Mailing address
954 RIDGEBROOK RD STE 130, SPARKS, MD 21152-9469
(410) 387-0155
(502) 213-9977
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
MI
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/30/2012
Last updated
07/21/2022
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