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General NPI Number Information
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NPI Number | 1447456140
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13011 JUSTICE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70816-5330
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Country | US
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Telephone | 225-291-5038
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Fax | 225-291-2534
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Provider Business Mailing Address
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Address Line | 13011 JUSTICE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70816-5330
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Country | US
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Telephone | 225-291-5038
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Fax | 225-291-2534
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. PORSHA RADFORD
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Credential |
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Telephone | 225-291-5038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | SIL 12826
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | PCA 12825
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License Number State | LA
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