Miss. Holly Suzanne Moore, MSOTR/L
Miss. Holly Suzanne Moore, MSOTR/L is a Skilled Nursing Facility in Crossville, Illinois. Practices as a sole proprietor. Licensed in Illinois and Indiana.
- Licensed in
- IL, IN
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
202 W Davenport StCrossville, IL 62827
Phone: (618) 928-4801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 056.008560 (IL) |
|---|---|
| Skilled Nursing Facility | Taxonomy 314000000X · Licence 31004566A (IN) |
Record details
| NPI number | 1255648390 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSOTR/L |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2010 |
| Last updated in NPPES | September 10, 2010 |