Organization
HOLLY'S HOMES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA PENNINGTON REGISTERED NURSE (OWNER / EXECUTIVE DIRECTOR)
(256) 483-1543
Entity
Organization
Contact information
Practice address
1956 TURNPIKE RD, ALBERTVILLE, AL 35950-4325
(256) 894-5628
(256) 894-5628
Mailing address
PO BOX 44, GUNTERSVILLE, AL 35976-0044
(256) 486-1330
(256) 894-5628
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
AL
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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