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General NPI Number Information
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NPI Number | 1093559163
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Entity Type | Organization
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Legal Business Name | ALL HOLISTIC CARE SERVICES, INC.
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Dates
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Enumeration Date | 06/22/2024
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Last Update Date | 06/22/2024
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Provider Practice Location Address
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Address Line | 2418 S AZUSA AVE
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City | WEST COVINA
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State | CA
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Zip | 91792-1527
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Country | US
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Telephone | 213-858-6712
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Fax |
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Provider Business Mailing Address
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Address Line | 8940 FOOTHILL BLVD
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City | SUNLAND
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State | CA
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Zip | 91040-1927
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Country | US
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Telephone | 213-858-6712
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. VYNETTE VILLENA
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Credential |
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Telephone | 213-858-6712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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