Organization
HOLISTIC IN HOME SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA MCKENZIE (OWNER)
(904) 463-2510
Entity
Organization
Contact information
Practice address
1013 ENON CT, ST AUGUSTINE, FL 32092-0431
(904) 463-2510
(904) 940-4795
Mailing address
1013 ENON CT, ST AUGUSTINE, FL 32092-0431
(904) 463-2510
(904) 940-4795
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/18/2009
Last updated
01/11/2010
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