Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elderly Living Center of Holly Hill, Inc

Organization Assisted Living Facility · NPI 1366210809

Elderly Living Center of Holly Hill, Inc is an Assisted Living Facility in Holly Hill, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

810 Oleander Ave
Holly Hill, FL 32117-3434
Phone: (407) 810-7841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1366210809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Lucas — President · (407) 810-7841
NPI enumeratedDecember 14, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address810 Oleander Ave, Holly Hill, FL 32117-3434

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