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General NPI Number Information
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NPI Number | 1891781498
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Entity Type | Organization
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Legal Business Name | HOLIDAY HILL, INC.
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 245 STATE HIGHWAY 153
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City | COLEMAN
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State | TX
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Zip | 76834-8757
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Country | US
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Telephone | 325-625-4157
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Fax | 325-625-2953
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Provider Business Mailing Address
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Address Line | PO BOX 392
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City | COLEMAN
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State | TX
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Zip | 76834-0392
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Country | US
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Telephone | 325-625-4157
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Fax | 325-625-2953
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MRS. KELLY LYNN COX
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Credential |
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Telephone | 325-625-4157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 109598
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License Number State | TX
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