Organization
HOLLY SPAULDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY JEANNETTE SPAULDING (STNA)
61447539027
Entity
Organization
Contact information
Practice address
395 CEDAR HILL RD NW, AMANDA, OH 43102-9586
(614) 753-9027
Mailing address
395 CEDAR HILL RD, AMANDA, OH 43102-9586
(614) 753-9027
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
321744310101
OH
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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