Provider Demographics
NPI:1043487333
Name:HOLISTIC HOME HEALTH CARE,INC
Entity type:Organization
Organization Name:HOLISTIC HOME HEALTH CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FREIDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN,FNP,MPH
Authorized Official - Phone:985-725-2428
Mailing Address - Street 1:12598 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-5305
Mailing Address - Country:US
Mailing Address - Phone:985-725-2428
Mailing Address - Fax:985-725-2431
Practice Address - Street 1:12598 RIVER RD
Practice Address - Street 2:
Practice Address - City:DESTREHAN
Practice Address - State:LA
Practice Address - Zip Code:70047-5305
Practice Address - Country:US
Practice Address - Phone:985-725-2428
Practice Address - Fax:985-725-2431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health