Holloway, Lanisha J

Holloway, Lanisha J is an sole proprietor health care provider with primary practice located at 5022 Perrine Dr , Jacksonville FL 32210-7859. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Holloway, Lanisha J can be contacted via phone (904) 772-0651.

Contact Information

Primary practice address
5022 Perrine Dr Jacksonville FL 32210-7859
Phone: (904) 772-0651
Fax: (904) 438-5726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 12059 Florida

Profile Details

NPI number 1497039143
LBN Legal business name Holloway, Lanisha J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2011
Last updated Oct 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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