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NPI Provider: 1669477147
Contact Name: Hayes Sue
Position: Director of Operations
Phone: (817) 598-0160
Holland Lake Nursing Center Ltd Information:
Holland Lake Nursing Center Ltd organization have npi 1669477147, taxonomy code is 314000000X with license number is 113174 in . This Business address located in PO Box 122267, Fort Worth, TX 76121 Texas. Get directions of Holland Lake Nursing Center Ltd.
Practice Location
Address: 1201 Holland Lake Dr, Weatherford, TX 76086
Phone: (817) 598-0160
Business Location
Address: PO Box 122267, Fort Worth, TX 76121
Phone: (817) 598-0160
Fax: (817) 598-0162
Taxonomy
Taxonomy Code: 314000000X
License Number: 113174
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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