Bolela, Mary
Bolela, Mary is an sole proprietor health care provider with primary practice located at 242 Holly Hill Dr , Jackson MS 39212-5867. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is her primary health care specialty. Bolela, Mary can be contacted via phone (601) 573-9458.Contact Information
Primary practice address
242 Holly Hill Dr
Jackson MS 39212-5867
Phone: (601) 573-9458
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 875417 | Mississippi |
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness | 3104A0625X |
Profile Details
NPI number | 1871355578 |
---|---|
LBN Legal business name | Bolela, Mary |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 29th, 2024 |
Last updated | Jan 29th, 2024 - about 11 months 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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