Healthcare Provider Details

I. General information

NPI: 1801956610
Provider Name (Legal Business Name): HOLIDAY RESORT OF SALINA OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 RESORT DR
SALINA KS
67401-9535
US

IV. Provider business mailing address

3024 SW WANAMAKER RD STE 300
TOPEKA KS
66614-4498
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-2201
  • Fax: 785-820-9352
Mailing address:
  • Phone: 785-272-1535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number175423
License Number StateKS

VIII. Authorized Official

Name: MR. MICHAEL D TRYON
Title or Position: CFO
Credential:
Phone: 785-272-1535