Whalio Doctors

NPI 1548644693

Holly Green

Practitioner Nursing Home Administrator Farmington, MO

Practice location

Address
3688 Sand Creek Rd, Farmington, MO 63640-7350
Phone
(573) 756-2917
Fax
(573) 756-7347

Registered specialties

Nursing Home Administrator Primary
Nursing Service Related Providers Taxonomy 376G00000X Licence 043352 (MO)

Registry record

NPI
1548644693
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jul 2015
Record last updated
17 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.