Organization
SHAKITTA HOLMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKITTA TANAE HOLMES (LICENSED PRACTICAL NURSE)
(845) 452-5272
Entity
Organization
Contact information
Practice address
128 BERMUDA BLVD, POUGHKEEPSIE, NY 12603-7002
(845) 452-5272
Mailing address
128 BERMUDA BLVD, POUGHKEEPSIE, NY 12603-7002
(845) 452-5272
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
NY
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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