Individual
HOLLY HORNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 BIG WOODS RD, SEAMAN, OH 45679-9405
(937) 386-1789
Mailing address
2100 BIG WOODS RD, SEAMAN, OH 45679-9405
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2367611
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2367611
—
OH
Enumeration date
03/28/2007
Last updated
07/09/2007
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