Organization
HOLLOWAY HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN HOLLOWAY (CNA)
(769) 274-9095
Entity
Organization
Contact information
Practice address
1508 PEA RIDGE RD, FOREST, MS 39074-9614
(769) 274-9095
(601) 625-8401
Mailing address
1508 PEA RIDGE RD, FOREST, MS 39074-9614
(769) 274-9095
(601) 625-8401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A012487
MS
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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