Holly Green
NPI #1548644693 in Farmington, Missouri
Provider Information
- NPI Number
- 1548644693
- Entity Type
- Individual
- Name
- Holly Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nursing Home Administrator
- Enumeration Date
- Jul 17, 2015
- Last Updated
- Jul 17, 2015
Practice Location
- Address
- 3688 SAND CREEK RD
- City
- Farmington
- State
- Missouri
- ZIP Code
- 63640-7350
- Phone
- (573) 756-2917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Home Administrator |
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