Organization
HALL-SAMPLE HOLISTIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LANEEN SHANELLE WHITE MS.ED (PROGRAM OPERATIONS MANAGER)
(757) 709-5229
Entity
Organization
Contact information
Practice address
23472 JOHN CANE RD, GREENBUSH, VA 23357-2242
(757) 709-5229
Mailing address
821 WHITE OAKS LN, POCOMOKE CITY, MD 21851-9589
(757) 709-5229
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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