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NPI Code Detail

MEDICARE: HOLLY HALL

MEDICARE: HOLLY HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility030124TX
2313M00000XNursing Facility/Intermediate Care Facility000123TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760603229
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLLY HALL
Provider Business Mailing Address
First Line : 2000 HOLLY HALL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4032
Country : US
Telephone Number : 713-799-9031
Fax Number : 713-799-2702
Provider Business Practice Location Address
First Line : 2000 HOLLY HALL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4032
Country : US
Telephone Number : 713-799-9031
Fax Number : 713-799-2702
Authorized Official
Title or Position : PERFORMANCE IMPROVEMENT
Name : MRS. CAROL W KLAPPENBACH
Credential : RN, BSN
Telephone Number : 713-799-9033
Provider Enumeration Date : 05/01/2007
Last Update Date : 07/24/2015

Similar Medicare Providers

1619210309 — HOLLY HALL
Practice Location Address:
2000 HOLLY HALL ST
HOUSTON, TX
77054-4032
Practice Phone: 713-799-9031
Practice Fax: 713-799-2702
1770112823 — HAKEEM ABIOLA KAREEM
Practice Location Address:
2000 HOLLY HALL ST
HOUSTON, TX
77054-4032
Practice Phone: 713-799-9031
Practice Fax:
1457980310 — ASHLI LAWRENCE PTA
Practice Location Address:
2000 HOLLY HALL ST
HOUSTON, TX
77054-4032
Practice Phone: 713-799-9031
Practice Fax:
1245850528 — MRS. ELIZABETH MARSHALL ALBRITTON MA.CCC/SLP
Practice Location Address:
2000 HOLLY HALL ST
HOUSTON, TX
77054-4032
Practice Phone: 713-858-9216
Practice Fax:
1306466115 — MOLLY ELIZABETH PITTSLEY OTR
Practice Location Address:
2000 HOLLY HALL ST
HOUSTON, TX
77054-4032
Practice Phone: 713-799-9031
Practice Fax:
1003437815 — CHARLITA TILLMAN
Practice Location Address:
2000 HOLLY HALL ST
HOUSTON, TX
77054-4032
Practice Phone: 713-799-9031
Practice Fax:

Directions to “HOLLY HALL ” Practice Location

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