Provider Demographics
NPI:1689342099
Name:THE HOLMES FAMILY PRODUCTS AND SERVICES, LLC
Entity Type:Organization
Organization Name:THE HOLMES FAMILY PRODUCTS AND SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/ MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-478-7574
Mailing Address - Street 1:4714 DERRY ST
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30297-1317
Mailing Address - Country:US
Mailing Address - Phone:678-478-7574
Mailing Address - Fax:
Practice Address - Street 1:4714 DERRY ST
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-1317
Practice Address - Country:US
Practice Address - Phone:678-478-7574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty