R-m Innovated, Pllc

NPI 1124304316 - Social Worker - 1041C0700X

NPI Details
NPI 1124304316
Enumeration Date 11/01/2011
Last Updated 11/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name HOLLY ANN HOLLY
Position CEO, CLINICIAN
Phone (910) 824-4760
Fax
Practice Location
523 N PLATTE RD
FAYETTEVILLE NC, 28303-2731, US
Phone (910) 824-4760
Fax
Business Location
519 N PLATTE RD
FAYETTEVILLE NC, 28303-2731, US
Phone (910) 824-4760
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C007279
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According to our database, R-m Innovated, Pllc NPI is 1124304316, taxonomy code is 1041C0700X and license number is C007279, license state is located at North Carolina. R-m Innovated, Pllc physically located at 523 N Platte Rd, Fayetteville NC, 28303-2731. NPI Number 1033115704 has the healthcare provider type.

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1124304316 NPI number is provided on an as is basis without warranty of any kind. 1124304316 is maintained by the National Plan & Provider Enumeration System. The contents of R-m Innovated, Pllc are for informational purposes only.