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NPI Code Detail

MEDICARE: WOUND CARE HOLISTICS LLC

MEDICARE: WOUND CARE HOLISTICS 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
1251E00000XHome Health Agency
2251J00000XNursing Care Agency
3251S00000XCommunity/Behavioral Health Agency
4253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1841047016
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOUND CARE HOLISTICS LLC
Provider Business Mailing Address
First Line : 216 ROCKAWAY AVE APT 22A
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-4222
Country : US
Telephone Number : 718-915-7317
Fax Number :
Provider Business Practice Location Address
First Line : 216 ROCKAWAY AVE APT 22A
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-4222
Country : US
Telephone Number : 718-915-7317
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HABEEBAT LAWAL
Credential : NP
Telephone Number : 718-915-7317
Provider Enumeration Date : 05/04/2024
Last Update Date : 05/04/2024

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Directions to “WOUND CARE HOLISTICS LLC ” Practice Location

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