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1497039143
LANISHA J HOLLOWAY
JACKSONVILLE, FL
NPI
1497039143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: FL 12059)
Enumeration Date
2011-09-29
Last Update Date
2011-10-06
Business Address
Mrs. LANISHA J HOLLOWAY
5022 PERRINE DR
JACKSONVILLE, FL 32210-7859
Phone number: 904-772-0651
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Mailing Address
Mrs. LANISHA J HOLLOWAY
8225 LEAFCREST DR
JACKSONVILLE, FL 32244-7493
Phone number: 904-210-2685
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