MEDICARE: MARGARET HOLLAND MONOS

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
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1538702196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET HOLLAND MONOS

Provider Business Mailing Address
First Line	:	243 STEELE RD UNIT 734
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06117-1739
Country	:	US
Telephone Number	:	860-803-5690
Fax Number	:

Provider Business Practice Location Address
First Line	:	243 STEELE RD UNIT 734
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06117-1739
Country	:	US
Telephone Number	:	860-803-5690
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2019
Last Update Date	:	10/10/2023

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