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Holland Lake Nursing Center Ltd

Skilled Nursing Facility in Weatherford, TX. Organization (NPI-2).

NPI number1669477147
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1669477147
Entity type
Organization (NPI-2)
Legal business name
Holland Lake Nursing Center Ltd
Organization subpart
No
Enumeration date
Jun 20, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility113174TXYes

Practice location

1201 Holland Lake Dr
Weatherford, TX 76086-5851

Phone 817-598-0160 · Fax 817-598-0162

Mailing address

Po Box 122267
Fort Worth, TX 76121-2267

Phone 817-598-0160 · Fax 817-598-0162

Authorized official

Sue Hayes
Director Of Operations
8175980160

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