Organization
TRACY LYN HOLLAND LPN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY LYN HOLLAND (LPN)
(419) 334-8466
Entity
Organization
Contact information
Practice address
408 SAINT JOSEPH ST., FREMONT, OH 43420-4630
(419) 334-8466
Mailing address
408 SAINT JOSEPH ST, FREMONT, OH 43420-4630
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PN118417
OH
251J00000X
Nursing Care Agency
Primary
PN118417
OH
302R00000X
Health Maintenance Organization
PN118417
OH
Other
Enumeration date
05/08/2007
Last updated
09/11/2025
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