MEDICARE: THE GRUENE DOLL HOUSE LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1902738271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GRUENE DOLL HOUSE LLC

Provider Business Mailing Address
First Line	:	830 EWELLING LN
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-3324
Country	:	US
Telephone Number	:	702-429-0384
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 EWELLING LN
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-3324
Country	:	US
Telephone Number	:	702-429-0384
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING MEMBER
Name	:	HOLLY AIROLA
Credential	:
Telephone Number	:	702-429-0384

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “THE GRUENE DOLL HOUSE LLC ” Practice Location

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