Organization
HOLISTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SWEENEY (CFO/TREASURER)
(262) 834-6170
Entity
Organization
Contact information
Practice address
W140N8981 LILLY RD, MENOMONEE FALLS, WI 53051-2325
(262) 834-6170
Mailing address
W140N8981 LILLY RD, MENOMONEE FALLS, WI 53051-2325
(262) 834-6170
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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