Organization
HOLLY NURSING CARE CENTER, INC
Active
Other names
Holly Nursing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KORETKE (DIRECTOR OF REIMBURSEMENT)
(720) 974-6278
Entity
Organization
Contact information
Practice address
320 N 8TH ST, HOLLY, CO 81047
(719) 537-6555
(719) 537-6366
Mailing address
PO BOX 636, HOLLY, CO 81047-0636
(719) 537-6555
(719) 537-6366
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
020237
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05655147
—
CO
05
—
4138426
—
CO
Enumeration date
11/05/2015
Last updated
11/05/2015
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