Individual
MRS. ANGELA F. HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER/DIRECTOR
Contact information
Practice address
1421 MARY ST, GREENVILLE, MS 38701-7148
(662) 822-2308
Mailing address
1421 MARY ST, GREENVILLE, MS 38701-7148
(662) 822-2308
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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