Organization Name: | HOLIDAY ISLAND OPERATIONS, LLC |
NPI Number: | 1427444124 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND DENNINGTON MOSS (MANAGER) |
Mailing Address: | 89 Hillside Drive Holiday Island |
State: | AR US |
Postal Code: | 72631 |
Phone Number: | 4792536553 |
Fax Number: | 4792535043 |
NPI Enumeration Date: | 04/09/2015 |
NPI Last Update Date: | 04/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |