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Organization
HOLLY CONVALESCENT CENTER, INC.
Active
Organization
HOLLY CONVALESCENT CENTER, INC.
Active
Other names
Holly Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HANEY (AUTHORIZED OFFICIAL)
(248) 634-9281
Entity
Organization
Contact information
Practice address
313 SHERWOOD ST, HOLLY, MI 48442-1232
(248) 634-9281
(248) 634-9553
Mailing address
313 SHERWOOD ST, HOLLY, MI 48442-1232
(248) 634-9281
(248) 634-9553
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
63-4380
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23E252
—
MI
01
—
63-4380
STATE FACILITY NUMBER
MI
Enumeration date
11/08/2006
Last updated
01/16/2015
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