Individual ProviderDetta F HollandCase Manager/Care CoordinatorOther Service ProvidersPractice Address211 Jackson St SW, Camden, AR 71701-3941(870) 836-5743(870) 862-7921PECOS EnrollmentBased on the most recent information from CMS, provider Detta F Holland does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1871614875Provider TypeIndividualFull NameHolland, Detta FGenderFemaleSole ProprietorNoEnumeration Date4/3/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address211 Jackson St SW, Camden, AR 71701-3941Phone(870) 836-5743Fax(870) 836-6924Mailing LocationMailing Address715 N College Ave, El Dorado, AR 71730-4403Phone(870) 862-7921Fax(870) 864-2490Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer