Organization
HOLLY HILL RHF HOUSING, INC
Active
Other names
BISHOP'S GLEN RETIREMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
STUART HARTMAN (V.P. OF OPERATIONS)
(562) 257-5100
Entity
Organization
Contact information
Practice address
900 LPGA BLVD, HOLLY HILL, FL 32117-3113
(386) 226-9000
(386) 257-5069
Mailing address
900 LPGA BLVD, HOLLY HILL, FL 32117-3113
(386) 226-9000
(386) 257-5069
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1052096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020951100
—
FL
01
—
N68
BX/BS OF FL
FL
Enumeration date
06/14/2005
Last updated
01/21/2009
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