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Contact Information

HOLLYDELL, INC.
328B NORTH BROADWAY
PENNSVILLE TOWNSHIP, NJ08071
 Phone: 856-678-2160
 Fax: 856-678-2162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for HOLLYDELL, INC.

NPI # 1235513961
LBN Legal business name HOLLYDELL, INC.
Authorized official GRACANNE RYAN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2015
Last updated 07/13/2015 - About 11 years ago
Identifiers
NJ Medicaid 2160
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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