| NPI | 1972557460 |
|---|---|
| Other Name | HOLLAND HOME - FULTON MANOR |
| Entity Type | Organization |
| Authorized Contact | DAVID TIESENGA CFO 616-235-5035 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 14196) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-03-10 |