Organization
HOLLISTER'S ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN ELAINE HOLLISTER (ADMINISTRATOR)
(254) 344-2472
Entity
Organization
Contact information
Practice address
1579 LCR 310, MART, TX 76664-5206
(254) 344-2472
(254) 344-2472
Mailing address
1579 LCR 310, MART, TX 76664-5206
(254) 344-2472
(254) 344-2472
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000422
TX
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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