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Michael Holmes, COTA

NPI 1972074300 · on the registry since 2018 · sole proprietor

Practice

Address
1311 N Pecan St
Newport, AR 72112
Phone
(870) 523-9514
Organisation at this address
Ltc Of Newport, Llc
St. Michael'S Place, Inc.
Diversicare Pinedale, Llc
North Pecan Street Operating Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 326 Lindley Ln, Newport, AR

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas