Organization
HOLIDAY HEALTHCARE, LLC
Active
Other names
Holiday Resort
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE SHANE KERBS LICENSED ADMIN. (ADMINISTRATOR)
(620) 343-9285
Entity
Organization
Contact information
Practice address
2700 W 30TH AVE, EMPORIA, KS 66801-9100
(620) 343-9285
(620) 343-1867
Mailing address
2700 W 30TH AVE, EMPORIA, KS 66801-9100
(620) 343-9285
(620) 343-1867
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N056007
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108180A
—
KS
01
—
175173
OSCAR
KS
Enumeration date
01/31/2006
Last updated
11/17/2011
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