Provider Demographics
NPI:1639935414
Name:HOLISTIC HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:HOLISTIC HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WALKY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINTIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-255-3436
Mailing Address - Street 1:276 TOWERVIEW DR W
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-9615
Mailing Address - Country:US
Mailing Address - Phone:407-255-3436
Mailing Address - Fax:
Practice Address - Street 1:276 TOWERVIEW DR W
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-9615
Practice Address - Country:US
Practice Address - Phone:407-255-3436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health