Healthcare Provider Details

I. General information

NPI: 1780824938
Provider Name (Legal Business Name): HOLLON FINANCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2009
Last Update Date: 03/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3641 S CLARKSVILLE RD
CLARKSVILLE OH
45113-9704
US

IV. Provider business mailing address

3641 S CLARKSVILLE RD
CLARKSVILLE OH
45113-9704
US

V. Phone/Fax

Practice location:
  • Phone: 937-728-9421
  • Fax:
Mailing address:
  • Phone: 937-728-9421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number400392750804
License Number StateOH

VIII. Authorized Official

Name: MISS AMY YVETTE JOHNSON
Title or Position: OWNER
Credential: STNA, OCDT
Phone: 937-728-9421