| NPI | 1215216700 |
|---|---|
| Former Legal Business Name | HOLLY'S COMMUNITY OUTREACH CARE |
| Entity Type | Organization |
| Authorized Contact | HOLLY ANNETTE GRAY Administator 336-824-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 76000398) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2013-03-13 |