Provider Demographics
NPI:1437602406
Name:HOLLIS HOME CARE, INCORPORATED
Entity Type:Organization
Organization Name:HOLLIS HOME CARE, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSSLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-722-2395
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:COLLINWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:38450-0007
Mailing Address - Country:US
Mailing Address - Phone:931-722-2395
Mailing Address - Fax:931-722-2397
Practice Address - Street 1:402 HWY. 13 NORTH
Practice Address - Street 2:
Practice Address - City:COLLINWOOD
Practice Address - State:TN
Practice Address - Zip Code:38450
Practice Address - Country:US
Practice Address - Phone:931-722-2395
Practice Address - Fax:931-722-2397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000018346253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care