MEDICARE: HOLISTIC FAMILY CARE SOLUTION,LLC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1255728556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC FAMILY CARE SOLUTION,LLC

Provider Business Mailing Address
First Line	:	301 PINNACLE PL
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-1422
Country	:	US
Telephone Number	:	615-294-3755
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 PINNACLE PL
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-1422
Country	:	US
Telephone Number	:	615-294-3755
Fax Number	:

Authorized Official
Title or Position	:	OWNER MANAGER
Name	:	MS. EMNET ABRAHAM
Credential	:	RN BSN
Telephone Number	:	615-294-3755

Provider Enumeration Date	:	04/24/2015
Last Update Date	:	04/24/2015

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