Organization
HOLISTIC HOME HEALTH, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILAYPHONE THAWNGHMUNG (PRESIDENT)
(440) 250-8760
Entity
Organization
Contact information
Practice address
24600 CENTER RIDGE RD STE 470, WESTLAKE, OH 44145-5679
(440) 250-8760
(440) 250-8762
Mailing address
4418 SUMMIT VIEW RD, DUBLIN, OH 43016-8425
(614) 327-7630
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2702221
—
OH
Enumeration date
11/20/2006
Last updated
01/08/2024
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