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Organization

HOLLY GROVE HEALTH CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BYRON GROVES (OWNER)
(417) 322-9117
Entity
Organization

Contact information

Practice address
227 E SUNSHINE ST STE 6, SPRINGFIELD, MO 65807-2652
(417) 322-9117
(417) 708-4654
Mailing address
227 E SUNSHINE ST STE 6, SPRINGFIELD, MO 65807-2652
(417) 322-9117
(417) 708-4654

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
04/10/2020
Last updated
04/11/2020
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