Provider Demographics
NPI:1871254078
Name:ADVANCED HOLISTIC HOME CARE CO
Entity Type:Organization
Organization Name:ADVANCED HOLISTIC HOME CARE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLAUME
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:617-980-6886
Mailing Address - Street 1:34 MONK ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2602
Mailing Address - Country:US
Mailing Address - Phone:617-779-0886
Mailing Address - Fax:
Practice Address - Street 1:23 CADDY RD
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2922
Practice Address - Country:US
Practice Address - Phone:617-980-6886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2023-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health