Provider Demographics
NPI:1548387228
Name:HOLT FAMILY CARE
Entity Type:Organization
Organization Name:HOLT FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-623-6577
Mailing Address - Street 1:323 GREENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5641
Mailing Address - Country:US
Mailing Address - Phone:336-623-6577
Mailing Address - Fax:336-623-6577
Practice Address - Street 1:323 GREENWOOD ST
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5641
Practice Address - Country:US
Practice Address - Phone:336-623-6577
Practice Address - Fax:336-623-6577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility