NPI 1518283381

Holly Ridge Healthcare, INC

Organisation Assisted Living Facility Dexter, MO

Practice location

Address: 13134 Highway 25, Dexter, MO 63841-9740
Phone: (573) 624-4433
Mailing address: 17826 Edison Ave, Chesterfield, MO 63005-1262

Authorised official

Name: John M. Sells
Title: President
Phone: (636) 536-5365

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1518283381
Entity type: Organization
NPI issued: 19 Apr 2010
Record last updated: 8 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.