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NPI Code Detail

MEDICARE: ALL HOLISTIC CARE SERVICES, INC.

MEDICARE: ALL HOLISTIC CARE SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1093559163
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL HOLISTIC CARE SERVICES, INC.
Provider Business Mailing Address
First Line : 8940 FOOTHILL BLVD
Second Line :
City : SUNLAND
State : CA
Zip : 91040-1927
Country : US
Telephone Number : 213-858-6712
Fax Number :
Provider Business Practice Location Address
First Line : 2418 S AZUSA AVE
Second Line :
City : WEST COVINA
State : CA
Zip : 91792-1527
Country : US
Telephone Number : 213-858-6712
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. VYNETTE VILLENA
Credential :
Telephone Number : 213-858-6712
Provider Enumeration Date : 06/22/2024
Last Update Date : 06/22/2024

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Directions to “ALL HOLISTIC CARE SERVICES, INC. ” Practice Location

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