| Hollandale Family Care, P.c. | |
| 
					1257 Highway 61 South Hollandale MS 38748  | |
| (662) 827-2214 | |
| (662) 827-5019 | 
| Full Name | Hollandale Family Care, P.c. | 
|---|---|
| Speciality | Clinic/center - Rural Health | 
| Location | 1257 Highway 61 South, Hollandale, Mississippi | 
| Authorized Official Name and Position | John L Herzog (PRESIDENT) | 
| Authorized Official Contact | 6628436034 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hollandale Family Care, P.c. Po Box 5368 Greenville MS 38704-5368 Ph: (662) 827-2214  | Hollandale Family Care, P.c. 1257 Highway 61 South Hollandale MS 38748 Ph: (662) 827-2214  | 
| NPI Number | 1245290451 | 
|---|---|
| Provider Enumeration Date | 03/23/2006 | 
| Last Update Date | 05/20/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245290451 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |