Mrs. Angela F. Holmes, OWNER/DIRECTOR

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1750684742

Mrs. Angela F. Holmes, OWNER/DIRECTOR is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Greenville, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since: 2010

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Practice location Address checks out

1421 Mary St
Greenville, MS 38701-7148
Phone: (662) 822-2308

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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X

Record details

NPI number	1750684742
Entity type	Individual (Type 1)
Gender	Female
Credentials	OWNER/DIRECTOR
Sole proprietor	Yes
NPI enumerated	December 13, 2010
Last updated in NPPES	December 13, 2010