# HOLLY MANOR SNF OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holly Manor Nursing Home, Holly Manor Rehab and Nursing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235886607
- **Authorized official:** JOSEPH LIEBERMAN (VICE PRESIDENT OF COST CONTAINMENT)
- **Authorized official phone:** (516) 855-5504

## Contact information

- **Practice address:** 2003 COBB ST, FARMVILLE, VA 23901-2603
- **Practice address phone:** (434) 392-6106
- **Mailing address:** 2003 COBB ST, FARMVILLE, VA 23901-2603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2022
- **Last updated:** 04/12/2026