NPI 1477940799 · live from the CMS NPI Registry
Teresa Alfaro, PTA
Skilled Nursing Facility in Holland, MI. National Provider Identifier 1477940799, active.
NPI record
| NPI | 1477940799 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1221 E 16th St, Holland, MI 49423 |
| Practice phone | 616-396-7095 |
| Mailing address | 10919 Thornberry Way, Zeeland, MI 49464 |
| Enumerated | April 24, 2015 |
| Last updated | April 24, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 5502001755 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.