Healthcare Provider Details

I. General information

NPI: 1124020466
Provider Name (Legal Business Name): ZEELAND SKILLED NURSING FACILITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 N STATE ST
ZEELAND MI
49464-1297
US

IV. Provider business mailing address

285 N STATE ST
ZEELAND MI
49464-1297
US

V. Phone/Fax

Practice location:
  • Phone: 616-772-4641
  • Fax: 616-772-4641
Mailing address:
  • Phone: 616-772-4641
  • Fax: 616-772-4641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTINE R KIRK
Title or Position: DELEGATED OFFICIAL
Credential:
Phone: 417-846-3521