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NPI 1457570673 · live from the CMS NPI Registry

Holly Health Care, INC.

Hospice Care, Community Based in Philadelphia, MS. National Provider Identifier 1457570673, active.

NPI record

NPI1457570673 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location516 W Main St, Philadelphia, MS 39350
Practice phone601-416-1664
Mailing addressPo Box 805, 516 Main St, Philadelphia, MS 39350
EnumeratedApril 25, 2007
Last updatedAugust 22, 2020
Authorized officialPhillip Soriano, Administrator

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.