Organization
HOLISTIC HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELICON BONODE RN, BSN (CEO)
(586) 843-3930
Entity
Organization
Contact information
Practice address
11111 HALL RD STE 404, UTICA, MI 48317-5716
(586) 843-3930
(586) 477-4758
Mailing address
11111 HALL RD STE 404, UTICA, MI 48317-5716
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
D49-57K
MI
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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