NPI 1750684742

Angela F. Holmes, OWNERDIRECTOR

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Greenville, MS

Practice location

Address: 1421 Mary St, Greenville, MS 38701-7148
Phone: (662) 822-2308

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1750684742
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2010
Record last updated: 13 Dec 2010

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.

Contact

(662) 822-2308 Open in maps

This is the number in the registry. Confirm before relying on it - practices move.

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