Organization
HOLLYHOMECARELLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI NICOLE BOOKER HOLLY (OWNER)
(215) 221-2597
Entity
Organization
Contact information
Practice address
118 MERIDIAN LN, SEWELL, NJ 08080-3848
(215) 221-2597
Mailing address
118 MERIDIAN LN, SEWELL, NJ 08080-3848
(215) 221-2597
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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