Organization
HOLLYS NURSING MOBILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY ELAINE OWENS LPN (NURSE)
(463) 246-3899
Entity
Organization
Contact information
Practice address
4430 CRITTENDEN AVE, INDIANAPOLIS, IN 46205-2232
(463) 246-3899
(650) 547-5216
Mailing address
4430 CRITTENDEN AVE, INDIANAPOLIS, IN 46205-2232
(463) 246-3899
(650) 547-5216
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/25/2026
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