Organization
HOLLY SPRINGS SENIOR CITIZENS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT W. ALLEN (ADMINISTRATOR)
(828) 245-7781
Entity
Organization
Contact information
Practice address
1881 BIG ISLAND RD, RUTHERFORDTON, NC 28139-8779
(828) 245-7781
(828) 247-0107
Mailing address
1881 BIG ISLAND RD, RUTHERFORDTON, NC 28139-8779
(828) 245-7781
(828) 247-0107
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-081-005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801905
—
NC
01
—
HAL-081-005
STATE LICENSE NUMBER
NC
Enumeration date
02/22/2007
Last updated
08/22/2020
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