Organization
HOLLOMAN CARE CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HOLLOMAN (OWNER)
(417) 413-6393
Entity
Organization
Contact information
Practice address
3440 W DIVISION ST STE I, SPRINGFIELD, MO 65802-1187
(417) 413-6303
Mailing address
3440 W DIVISION ST STE I, SPRINGFIELD, MO 65802-1187
(417) 413-6303
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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