# HOLSTON NH OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holston Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356504393
- **Authorized official:** RHONDA B NELSON (CONTROLLER)
- **Authorized official phone:** (864) 578-6599

## Contact information

- **Practice address:** 3641 MEMORIAL BLVD, KINGSPORT, TN 37664-3422
- **Practice address phone:** (423) 246-2411
- **Practice address fax:** (423) 246-8997
- **Mailing address:** 3641 MEMORIAL BLVD, KINGSPORT, TN 37664-3422
- **Mailing address phone:** (423) 246-2411
- **Mailing address fax:** (423) 246-8997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000264 | TN | Yes |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 05/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445295 | — | TN |
| 05 | — | 7440436 | — | TN |