Provider Demographics
NPI:1740799857
Name:HOLISTIC RECOVER CARE INC
Entity Type:Organization
Organization Name:HOLISTIC RECOVER CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-228-1828
Mailing Address - Street 1:1835 S PERIMETER RD
Mailing Address - Street 2:170
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-7121
Mailing Address - Country:US
Mailing Address - Phone:954-228-1828
Mailing Address - Fax:954-990-6305
Practice Address - Street 1:1835 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4619
Practice Address - Country:US
Practice Address - Phone:954-228-1828
Practice Address - Fax:954-990-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty