Individual
PATRICIA HOLLENBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 N LONE CACTUS DR, PRESCOTT VALLEY, AZ 86314-5307
(928) 205-1127
Mailing address
4501 N LONE CACTUS DR, PRESCOTT VALLEY, AZ 86314-5307
(928) 205-1127
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
5300770
AZ
385H00000X
Respite Care
5300770
AZ
Other
Enumeration date
05/19/2014
Last updated
02/04/2021
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