# HOLTON HEALTH CARE CENTER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holton Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508676008
- **Authorized official:** RICHARD J. DESTEFANE (PRESIDENT)
- **Authorized official phone:** (314) 422-7910

## Contact information

- **Practice address:** 1121 W 7TH ST, HOLTON, KS 66436-1123
- **Practice address phone:** (785) 328-4636
- **Practice address fax:** (785) 328-4637
- **Mailing address:** 1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
- **Mailing address phone:** (314) 543-3816
- **Mailing address fax:** (314) 226-1736

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 01/08/2025