Organization
HOLISTIC HEALTHCARE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FANKMENI (OWNER)
(240) 305-9501
Entity
Organization
Contact information
Practice address
194 GLOUCESTER BLVD, MIDDLETOWN, DE 19709-8328
(240) 305-9501
Mailing address
600 N BROAD ST STE 5, MIDDLETOWN, DE 19709-1032
(240) 305-9501
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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