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NPI Code Detail

MEDICARE: DOLLY HOLT

MEDICARE: DOLLY HOLT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558957241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOLLY HOLT
Provider Business Mailing Address
First Line : 748 MCMECHEN ST
Second Line :
City : BENWOOD
State : WV
Zip : 26031-1100
Country : US
Telephone Number : 304-233-3747
Fax Number :
Provider Business Practice Location Address
First Line : 748 MCMECHEN ST
Second Line :
City : BENWOOD
State : WV
Zip : 26031-1100
Country : US
Telephone Number : 304-233-3747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2020
Last Update Date : 12/16/2020

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Directions to “ DOLLY HOLT ” Practice Location

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