Provider Demographics
NPI:1558655340
Name:HOLISTIC HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:HOLISTIC HEALTHCARE SERVICES
Other - Org Name:HOLISTIC HEALTHCARE SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ENOW
Authorized Official - Last Name:ENOW
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:225-757-2294
Mailing Address - Street 1:9270 SEIGEN LANE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810
Mailing Address - Country:US
Mailing Address - Phone:225-757-2294
Mailing Address - Fax:225-757-2298
Practice Address - Street 1:9270 SEIGEN LANE
Practice Address - Street 2:SUITE 304
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810
Practice Address - Country:US
Practice Address - Phone:225-757-2294
Practice Address - Fax:225-757-2298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care