HOLLY CENTER NPI 1629054762

NPI Information

HOLLY CENTER is a residential treatment facility, intellectual and/or developmental disabilities in Salisbury, MD. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HOLLY CENTER NPI is 1629054762. The provider is registered as an organization entity type.

The provider's business location address is:

926 SNOW HILL RD
SALISBURY, MD
ZIP 21804-939
Phone: (410) 572-6200
Fax: (410) 572-6390

The provider's authorized official is Thomas M. Kish .
The authorized official title is Director and has the following contact phone number (410) 572-6201.

The CLIA number assigned to this NPI record is 21D2236550 - other - icf/ii with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.