Organization
HOLLY HILL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE PIPPINS (OWNER)
(618) 833-3322
Entity
Organization
Contact information
Practice address
203 LAFAYETTE ST, ANNA, IL 62906-1545
(618) 833-3322
Mailing address
203 LAFAYETTE ST, ANNA, IL 62906-1545
(618) 833-3322
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
IL
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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