Organization
HOLLY HOUSE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION K CLARK (OWNER/OPERATOR)
(479) 253-9800
Entity
Organization
Contact information
Practice address
100 RIDGEVIEW RD, EUREKA SPRINGS, AR 72632-9358
(479) 253-9800
Mailing address
100 RIDGEVIEW RD, EUREKA SPRINGS, AR 72632-9358
(479) 253-9800
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
045
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183621794
—
AR
Enumeration date
12/01/2010
Last updated
12/01/2010
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