Provider Demographics
NPI:1306469176
Name:MCLEISH, HOLLY ELIZABETH-MARIE
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ELIZABETH-MARIE
Last Name:MCLEISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 ROCKY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-3031
Mailing Address - Country:US
Mailing Address - Phone:513-907-7059
Mailing Address - Fax:
Practice Address - Street 1:2830 ROCKY RIDGE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-3031
Practice Address - Country:US
Practice Address - Phone:513-907-7059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide