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Mrs. Angela F. Holmes, OWNER/DIRECTOR
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Greenville, Mississippi
NPI 1750684742

Angela F. Holmes is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Greenville, MS. Angela F. Holmes practices in Greenville, MS and has the professional credentials of OWNER/DIRECTOR. The NPI Number for Angela F. Holmes is 1750684742 and holds a License No. (Mississippi).

The current practice location address for Angela F. Holmes is 1421 Mary St, Greenville, MS and can be reached out via phone at 662-822-2308.

Location: 1421 Mary St, Greenville, MS, 38701-7148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750684742
Provider Name
Angela F. Holmes
Credential
OWNER/DIRECTOR
Provider Entity Type
Individual
Gender
Female
Address
1421 Mary St, Greenville, MS, 38701-7148
Phone Number
662-822-2308
Fax Number
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1421 Mary St
City
Greenville
State
Mississippi
Zip
38701-7148
Phone Number
662-822-2308
Fax Number
person
Provider Business Mailing Address Details
Address
1421 Mary St
City
Greenville
State
Mississippi
Zip
38701-7148
Phone Number
662-822-2308
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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