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Holly Green
NPI 1548644693 · on the registry since 2015
Practice
- Address
- 3688 Sand Creek Rd
Farmington, MO 63640 - Phone
- (573) 756-2917
- Fax
- (573) 756-7347
- Organisation at this address
- Green Acres Residential Care Facility, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Nursing Home Administrator
376G00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri