Organization
HOLISTIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVERETT HENRY BAYLISS JR. MSN (CNP)
(614) 507-9604
Entity
Organization
Contact information
Practice address
4109 SEQUOIA AVE, GROVE CITY, OH 43123-9031
(614) 507-9604
Mailing address
PO BOX 549, GROVE CITY, OH 43123-0549
(614) 507-9604
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
COA 12022-NP
OH
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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