Organization
HOLIDAY PINES NURSING AND REHABILITATION LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. RICH (PRESIDENT)
(940) 387-4388
Entity
Organization
Contact information
Practice address
1201 CARDINAL DR, WOODVILLE, TX 75979-5428
(409) 283-3397
(409) 283-7564
Mailing address
401 N ELM ST, DENTON, TX 76201-4137
(940) 387-4388
(940) 380-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
115077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004233
—
TX
01
—
094431603
TMHP DME CROSS-OVER
TX
01
—
155126901
TMHP CROSS-OVER
TX
Enumeration date
09/27/2005
Last updated
08/11/2008
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