Organization
HOLIDAY ISLAND OPERATIONS, LLC
Active
Other names
Green Acre Lodge of Holiday Island
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND DENNINGTON MOSS (MANAGER)
(479) 530-3779
Entity
Organization
Contact information
Practice address
89 HILLSIDE DRIVE, HOLIDAY ISLAND, AR 72631
(479) 253-6553
(479) 253-5043
Mailing address
89 HILLSIDE DRIVE, HOLIDAY ISLAND, AR 72631
(479) 253-6553
(479) 253-5043
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
105
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206460794
—
AR
Enumeration date
04/09/2015
Last updated
04/09/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up