| Holly Ridge Center | |
|
5112 Nw Taylor Rd Bremerton WA 98312-8837 | |
| (360) 373-2536 | |
| (360) 373-4934 |
| Full Name | Holly Ridge Center |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 5112 Nw Taylor Rd, Bremerton, Washington |
| Authorized Official Name and Position | Roxanne Bryson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3603732536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Ridge Center 5112 Nw Taylor Rd Bremerton WA 98312-8837 Ph: (360) 373-2536 | Holly Ridge Center 5112 Nw Taylor Rd Bremerton WA 98312-8837 Ph: (360) 373-2536 |
| NPI Number | 1861549206 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861549206 | NPI | - | NPPES |
| 7007271 | Medicaid | WA | |
| 7017742 | Medicaid | WA | |
| 7660228 | Medicaid | WA |
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