# HOLISTIC CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1518630748
- **Authorized official:** FATMATA BANGURA (CEO/PROGRAM DIRECTOR)
- **Authorized official phone:** (703) 744-0673

## Contact information

- **Practice address:** 9020F LORTON STATION BLVD STE 115, LORTON, VA 22079-4799
- **Practice address phone:** (703) 744-0673
- **Mailing address:** 40 HULVEY DR, STAFFORD, VA 22556-3816
- **Mailing address phone:** (540) 735-4315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2021
- **Last updated:** 07/25/2021