Organization
HOLISTIQUE HOME CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAH WANGUNGU (CEO)
(660) 238-0262
Entity
Organization
Contact information
Practice address
123 SPANISH OAK WAY # 2, DALLAS, GA 30132-0862
(660) 238-0262
Mailing address
123 SPANISH OAK WAY, DALLAS, GA 30132-0862
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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