Janice Marie Holland

Individual provider Active NPI Dietary Manager · Independence, LA

NPI 1790202604 · NPPES record last updated Aug 23, 2017

Key facts

NPI
1790202604
Entity type
Individual (NPI type 1)
Primary specialty
Dietary Manager 132700000X
Practice address
16107 E Hwy 40
16107 E Hwy 40
Independence, LA 70443-2553
Phone
(985) 517-2396
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Two Wings Community Health Services LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X LA Yes

Addresses

Primary practice location

16107 E Hwy 40
16107 E Hwy 40
Independence, LA 70443-2553

Mailing address

PO Box 1329
Independence, LA 70443-1329
Phone (985) 517-2396

Other names

  • Janice Marie Holland Professional name

Other providers in Independence, LA

All providers in Independence, LA · Dietary Manager in Louisiana

Sources for this page

Verify at the official NPI Registry.