David Marshall Holland | Shawnee, OK • PECOS Search

David Marshall Holland

Case Manager/Care Coordinator

Other Service Providers

1010 E 45th St, Shawnee, OK 74804-2202

(405) 273-1170 (405) 570-1854

PECOS Enrollment

Based on the most recent information from CMS, provider David Marshall Holland does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1700488855
Provider Type
Individual
Full Name
Holland, David Marshall
Gender
Male

Sole Proprietor
No
Enumeration Date
11/13/2020
Last Updated
11/13/2020

Contact Information

Practice Location

1010 E 45th St, Shawnee, OK 74804-2202

(405) 275-4412

Mailing Location

36605 45th St, Shawnee, OK 74804-8882

(405) 275-4412

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer