Organization
HOLLIS HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEDRICK LLEWELLYN HOLLIS (CEO)
(765) 421-4903
Entity
Organization
Contact information
Practice address
2402 SEQUOYA DR, LAFAYETTE, IN 47909-2764
(765) 421-4903
Mailing address
2402 SEQUOYA DR, LAFAYETTE, IN 47909-2764
(765) 421-4903
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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