Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTOR HOLLAND
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · WATERVLIET, MI
Registration Details
- NPI Number
- 1831860311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2021 (4.5772020244353 yrs)
- Last Updated
- Sep 23, 2021
- License
-
AS110344109 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4556 N COUNTY LINE RDWATERVLIET, MI, 490989534Browse MI providers · Browse ZIP 49098
- Phone
- 2694634430
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.