Organization
HOLISTIC HEALTH CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PORSHA RADFORD (DIRECTOR)
(225) 291-5038
Entity
Organization
Contact information
Practice address
13011 JUSTICE AVE, BATON ROUGE, LA 70816-5330
(225) 291-5038
(225) 291-2534
Mailing address
13011 JUSTICE AVE, BATON ROUGE, LA 70816-5330
(225) 291-5038
(225) 291-2534
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
PCA 12825
LA
315P00000X
Intellectual Disabilities Intermediate Care Facility
SIL 12826
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470414
—
LA
05
—
1476579
—
LA
05
—
1476587
—
LA
Enumeration date
06/21/2007
Last updated
08/22/2020
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