Holland Lake Scc LLC
Skilled Nursing Facility in Weatherford, TX. Organization (NPI-2).
NPI number1790157519
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1790157519
- Entity type
- Organization (NPI-2)
- Legal business name
- Holland Lake Scc LLC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2015
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Holland Lake Nursing & Rehab (Doing Business As)
Practice location
1201 Holland Lake DrWeatherford, TX 76086-5851
Phone 817-598-0160
Mailing address
14841 Dallas PkwyDallas, TX 75254-7685
Phone 214-252-7600
Authorized official
Michael Templeton
Chief Operations Officer
2142527600
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