# HOLISTIC LIVING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366093825
- **Authorized official:** GRACE SEMPLE-PAUL (CEO)
- **Authorized official phone:** (832) 434-1029

## Contact information

- **Practice address:** 950 N WASHINGTON ST, ALEXANDRIA, VA 22314-1534
- **Practice address phone:** (240) 758-6453
- **Mailing address:** 620 E ROYAL OAKS DR, MARLIN, TX 76661-2225
- **Mailing address phone:** (832) 434-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2019
- **Last updated:** 09/26/2019