Individual provider · Type 1 NPI
Vivian Elaine Hollister
Assisted Living Facility · Mart, Texas, TX
NPI number
1669091179
Active
Practice location
1579 Lcr 310
Mart, Texas, TX 76664-5206
Fax (254) 344-2217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 000422 (TX) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
About NPI 1669091179
Vivian Elaine Hollister's National Provider Identifier is 1669091179, issued on Apr 14, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mart, Texas, TX. The record was last updated on Apr 14, 2020.