| Holiday Island Operations, Llc | |
|
89 Hillside Dr Holiday Island AR 72631-4658 | |
| (479) 530-3779 | |
| Not Available |
| Full Name | Holiday Island Operations, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 89 Hillside Dr, Holiday Island, Arkansas |
| Authorized Official Name and Position | Raymond Dennington Moss (OWNER) |
| Authorized Official Contact | 4795303779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holiday Island Operations, Llc 89 Hillside Dr Holiday Island AR 72631-4658 Ph: (479) 530-3779 | Holiday Island Operations, Llc 89 Hillside Dr Holiday Island AR 72631-4658 Ph: (479) 530-3779 |
| NPI Number | 1497481832 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497481832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |