Provider Demographics
NPI:1881032142
Name:WHOLE HEALTH P.L.L.C.
Entity Type:Organization
Organization Name:WHOLE HEALTH P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:910-395-2774
Mailing Address - Street 1:3715 PATRIOT WAY STE 141
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-6901
Mailing Address - Country:US
Mailing Address - Phone:910-395-2774
Mailing Address - Fax:910-395-2474
Practice Address - Street 1:3715 PATRIOT WAY STE 141
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-6901
Practice Address - Country:US
Practice Address - Phone:910-395-2774
Practice Address - Fax:910-395-2474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2350261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy