Provider Demographics
NPI:1568817302
Name:HOLLY SCARO DC LLC
Entity Type:Organization
Organization Name:HOLLY SCARO DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HOLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-644-8494
Mailing Address - Street 1:110 ANGLERS RD
Mailing Address - Street 2:STE 101
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1105
Mailing Address - Country:US
Mailing Address - Phone:302-644-8494
Mailing Address - Fax:302-644-8495
Practice Address - Street 1:110 ANGLERS RD
Practice Address - Street 2:STE 101
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1105
Practice Address - Country:US
Practice Address - Phone:302-644-8494
Practice Address - Fax:302-644-8495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty