Individual provider · Type 1 NPI
Victor Holland
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Watervliet, MI
Practice location
4556 N County Line Rd
Watervliet, MI 49098-9534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | AS110344109 (MI) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1831860311
Victor Holland's National Provider Identifier is 1831860311, issued on Sep 23, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Watervliet, MI. The record was last updated on Sep 23, 2021.