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General NPI Number Information
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NPI Number | 1124020466
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Entity Type | Organization
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Legal Business Name | ZEELAND SKILLED NURSING FACILITY INC
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 285 N STATE ST
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City | ZEELAND
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State | MI
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Zip | 49464-1297
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Country | US
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Telephone | 616-772-4641
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Fax | 616-772-4641
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Provider Business Mailing Address
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Address Line | 285 N STATE ST
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City | ZEELAND
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State | MI
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Zip | 49464-1297
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Country | US
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Telephone | 616-772-4641
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Fax | 616-772-4641
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Authorized Official
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Title or Position | DELEGATED OFFICIAL
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Name | MRS. KRISTINE R KIRK
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Credential |
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Telephone | 417-846-3521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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