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Ms. Sally Jo Holloway
Day Training/Habilitation Specialist in Merritt Island, Florida
NPI 1477536050

Sally Jo Holloway is a Day Training/Habilitation Specialist based in Merritt Island, FL. Sally Jo Holloway practices in Merritt Island, FL. The NPI Number for Sally Jo Holloway is 1477536050 and holds a License No. (Florida).

The current practice location address for Sally Jo Holloway is 2070 Temple Ave, Merritt Island, FL and can be reached out via phone at 321-453-8976 and via fax at 321-453-8976.

Location: 2070 Temple Ave, Merritt Island, FL, 32953-4221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477536050
Provider Name
Sally Jo Holloway
Credential
Provider Entity Type
Individual
Gender
Female
Address
2070 Temple Ave, Merritt Island, FL, 32953-4221
Phone Number
321-453-8976
Fax Number
321-453-8976
Provider Enumeration Date
11/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
676830098 05 FL
676830096 05 FL
institution
Provider Business Practice Location Address Details
Address
2070 Temple Ave
City
Merritt Island
State
Florida
Zip
32953-4221
Phone Number
321-453-8976
Fax Number
321-453-8976
person
Provider Business Mailing Address Details
Address
2070 Temple Ave
City
Merritt Island
State
Florida
Zip
32953-4221
Phone Number
321-453-8976
Fax Number
321-453-8976
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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