Organization
HOLISTIC HEALTH CARE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA THOMPSON REGISTERED NURSE (TRUSTEE)
(954) 625-4772
Entity
Organization
Contact information
Practice address
3465 NW 43RD PL, LAUDERDALE LAKES, FL 33309-4240
(954) 625-4772
Mailing address
3465 NW 43RD PL, LAUDERDALE LAKES, FL 33309-4240
(954) 625-4772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
208D00000X
General Practice Physician
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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