Provider Demographics
NPI:1417129016
Name:WHOLEHEARTED HEALING, LLC
Entity Type:Organization
Organization Name:WHOLEHEARTED HEALING, LLC
Other - Org Name:DR. RHONDA MARCUS, ND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:970-672-7771
Mailing Address - Street 1:3113 S TAFT HILL RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2143
Mailing Address - Country:US
Mailing Address - Phone:503-282-5725
Mailing Address - Fax:503-231-6658
Practice Address - Street 1:3113 S TAFT HILL RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2143
Practice Address - Country:US
Practice Address - Phone:970-672-7771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center