Organization
HOLLY HILL MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILLARD L. CURSEY JR. (ADMINISTRATOR)
(410) 823-5310
Entity
Organization
Contact information
Practice address
531 STEVENSON LN, TOWSON, MD 21286-7607
(410) 823-5310
(410) 583-8148
Mailing address
531 STEVENSON LN, TOWSON, MD 21286-7607
(410) 823-5310
(410) 583-8148
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03016
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006204900
—
MD
05
—
186102600
—
MD
Enumeration date
06/10/2005
Last updated
04/24/2008
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