Organization
HOLLAND HEALTH SERVICES, INC.
Active
Other names
Holland RST
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY A WILLINS RPH (PRESIDENT/CEO)
(360) 424-7829
Entity
Organization
Contact information
Practice address
1911 E DIVISION ST STE C, MOUNT VERNON, WA 98274-6703
(360) 424-8607
(360) 424-7430
Mailing address
PO BOX 1406, MOUNT VERNON, WA 98273-1406
(360) 424-7829
(360) 424-9053
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9029927
—
WA
Enumeration date
07/06/2006
Last updated
02/10/2016
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