# HOLLAND GLEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447206453
- **Authorized official:** SHEILA M BENTZEL (CONTROLLER)
- **Authorized official phone:** (215) 766-1500

## Contact information

- **Practice address:** 412 S YORK RD, HATBORO, PA 19040-3949
- **Practice address phone:** (215) 441-1178
- **Practice address fax:** (215) 441-1197
- **Mailing address:** 6151 KELLERS CHURCH RD, PIPERSVILLE, PA 18947-1021
- **Mailing address phone:** (215) 766-1500
- **Mailing address fax:** (215) 766-1506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 117470 | PA | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000026520005 | — | PA |