Provider Demographics
NPI:1609620327
Name:WHOLESOME CARE LLC
Entity Type:Organization
Organization Name:WHOLESOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALHAJI
Authorized Official - Middle Name:MORIBA
Authorized Official - Last Name:KALLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-429-0238
Mailing Address - Street 1:325 PLUS PARK BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-1059
Mailing Address - Country:US
Mailing Address - Phone:629-702-3141
Mailing Address - Fax:629-702-3141
Practice Address - Street 1:325 PLUS PARK BLVD STE 205
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-1059
Practice Address - Country:US
Practice Address - Phone:629-702-3141
Practice Address - Fax:629-702-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care