Provider Demographics
NPI:1356025100
Name:MCGRATH, HOLLY
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37465 DYE RD
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:45775-9684
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:37465 DYE RD
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:OH
Practice Address - Zip Code:45775-9684
Practice Address - Country:US
Practice Address - Phone:740-742-0910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide