Organization
HOLLYSTIC HIDEAWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HOLLY ANN VERNON (OWNER)
(949) 228-3694
Entity
Organization
Contact information
Practice address
1418 W SUNSET BLVD. # 2, SAINT GEORGE, UT 84770
(435) 767-7976
Mailing address
1396 N 2100 W, SAINT GEORGE, UT 84770
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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