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General NPI Number Information
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NPI Number | 1043487333
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Entity Type | Organization
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Legal Business Name | HOLISTIC HOME HEALTH CARE,INC
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 12598 RIVER RD
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City | DESTREHAN
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State | LA
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Zip | 70047-5305
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Country | US
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Telephone | 985-725-2428
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Fax | 985-725-2431
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Provider Business Mailing Address
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Address Line | 12598 RIVER RD
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City | DESTREHAN
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State | LA
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Zip | 70047-5305
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Country | US
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Telephone | 985-725-2428
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Fax | 985-725-2431
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FREIDA B. HOWARD
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Credential | RN,FNP,MPH
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Telephone | 985-725-2428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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