Organization Name: | HERITAGE HOMES, INC. |
NPI Number: | 1568677912 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN E. NOORDIJK (EXECUTIVE DIRECTOR) |
Mailing Address: | 9656 68th Ave Allendale |
State: | MI US |
Postal Code: | 494018358 |
Phone Number: | 6168957104 |
Fax Number: | 6168957105 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385HR2060X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Taxonomy Definition: | A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |