Organization
HOLISTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SPENCER (DIRECTOR OF OPERATIONS)
(262) 834-4193
Entity
Organization
Contact information
Practice address
W140N8981 LILLY RD, MENOMONEE FALLS, WI 53051-2325
(888) 560-6855
(262) 834-4176
Mailing address
W140N8981 LILLY RD, MENOMONEE FALLS, WI 53051-2325
(888) 560-6855
(262) 834-4176
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/08/2008
Last updated
11/18/2020
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