NPI 1568412690 · live from the CMS NPI Registry
Ccrc Opco - Holland, LLC
Skilled Nursing Facility in Holland, MI. National Provider Identifier 1568412690, active.
NPI record
| NPI | 1568412690 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 145 Columbia Ave, Holland, MI 49423 |
| Practice phone | 616-820-7400 |
| Enumerated | May 11, 2006 |
| Last updated | October 9, 2014 |
| Authorized official | Bryan Richardson, Cao |
| Other names | The Inn At Freedom Village |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 704011 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.