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Organization

HOLLY MANOR ALF IL OPERATIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH LIEBERMAN (VICE PRESIDENT OF COST CONTAINMENT)
(516) 855-5504
Entity
Organization

Contact information

Practice address
2003 COBB ST, FARMVILLE, VA 23901-2603
(434) 392-6106
Mailing address
2003 COBB ST, FARMVILLE, VA 23901-2603
(434) 392-6106

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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