Jami Lee Holman

Individual provider Active NPI Personal Care Attendant · Lamberton, MN

NPI 1053904136 · NPPES record last updated Feb 18, 2021

Key facts

NPI
1053904136
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
701 S Birch St
Lamberton, MN 56152-1130
Phone
(507) 822-8035
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

701 S Birch St
Lamberton, MN 56152-1130

Mailing address

701 S Birch St
Lamberton, MN 56152-1130
Phone (507) 822-8035

Other providers in Lamberton, MN

All providers in Lamberton, MN · Personal Care Attendant in Minnesota

Sources for this page

Verify at the official NPI Registry.