Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lanisha J Holloway

Individual provider Assisted Living Facility · NPI 1497039143

Mrs. Lanisha J Holloway is an Assisted Living Facility in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
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Practice location Address checks out

5022 Perrine Dr
Jacksonville, FL 32210-7859
Phone: (904) 772-0651
Fax: (904) 438-5726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 12059 (FL)

Record details

NPI number1497039143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2011
Last updated in NPPESOctober 6, 2011

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