MRS. Angela F. Holmes, OWNER/DIRECTOR

NPI #1750684742 in Greenville, Mississippi

Provider Information

NPI Number: 1750684742
Entity Type: Individual
Name: MRS. Angela F. Holmes, OWNER/DIRECTOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential: OWNER/DIRECTOR
Enumeration Date: Dec 13, 2010
Last Updated: Dec 13, 2010

Practice Location

Address: 1421 MARY ST
City: Greenville
State: Mississippi
ZIP Code: 38701-7148
Phone: (662) 822-2308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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