Mary Bolela
NPI #1871355578 in Jackson, Mississippi
Provider Information
- NPI Number
- 1871355578
- Entity Type
- Individual
- Name
- Mary Bolela
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility - Assisted Living, Mental Illness
- Enumeration Date
- Jan 29, 2024
- Last Updated
- Jan 29, 2024
Practice Location
- Address
- 242 HOLLY HILL DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39212-5867
- Phone
- (601) 573-9458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
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