Individual
ANITA R HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 BARRINGTON HALL DR, ROLESVILLE, NC 27571-9537
(704) 232-1881
Mailing address
405 BARRINGTON HALL DR, ROLESVILLE, NC 27571-9537
(704) 232-1881
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
F00194
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-4141812
PRIVATE PAY
NC
Enumeration date
10/13/2022
Last updated
10/13/2022
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