Organization
HOLLY NURSING CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONDA KAY CATHCART (ADMINISTRATOR)
(719) 537-6555
Entity
Organization
Contact information
Practice address
320 N 8TH ST, HOLLY, CO 81047
(719) 537-6555
(719) 537-6366
Mailing address
PO BOX 636, HOLLY, CO 81047-0636
(719) 537-6555
(719) 537-6366
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
0517
CO
315D00000X
Inpatient Hospice
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04138426
RESPITE MEDICAID
CO
05
—
05655147
—
CO
Enumeration date
07/12/2005
Last updated
09/11/2025
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