IndividualActive
Holly Green
NPI 1548644693 · Nursing Home Administrator · Farmington, MO
Provider details
- NPI number
- 1548644693
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 043352 (MO)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3688 Sand Creek Rd
Farmington, MO 63640-7350
Phone: (573) 756-2917
Fax: (573) 756-7347
Approximate (ZIP-level) locationGet directions
Mailing address
3688 Sand Creek Rd
Farmington, MO 63640-7350
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2015-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.