MISS Sandra Laverne Holmes

NPI #1407916612 in Wharton, Texas

Provider Information

NPI Number: 1407916612
Entity Type: Individual
Name: MISS Sandra Laverne Holmes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 613 N RUSK ST
City: Wharton
State: Texas
ZIP Code: 77488-3927
Phone: (979) 532-8762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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