Individual provider · Type 1 NPI
Holly Green
Nursing Home Administrator · Farmington, MO
NPI number
1548644693
Active
Practice location
3688 Sand Creek Rd
Farmington, MO 63640-7350
Fax (573) 756-7347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | 043352 (MO) |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
Another provider at this address
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About NPI 1548644693
Holly Green's National Provider Identifier is 1548644693, issued on Jul 17, 2015. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Farmington, MO. The record was last updated on Jul 17, 2015.