MISS HOLLY MOORE, MSOTR/L
Skilled Nursing Facility
Active
Individual
NPI: 1255648390
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes | 056.008560 (IL) |
Frequently Asked Questions
NPI 1255648390 is the National Provider Identifier for MISS HOLLY MOORE, MSOTR/L, a Skilled Nursing Facility provider located in Crossville, IL. This NPI was enumerated on September 10, 2010.
MISS HOLLY MOORE, MSOTR/L practices at 202 WEST DAVENPORT STREET, Crossville, IL 62827.
Quick Facts
- NPI
- 1255648390
- Type
- Individual
- Enumerated
- Sep 10, 2010
- Last Updated
- Sep 10, 2010
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