| NPI | 1114513587 |
|---|---|
| Former Legal Business Name | HOLISTIC CARE SERVICE LLC |
| Entity Type | Organization |
| Authorized Contact | RUBEN LORMEUS Director 239-634-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2021-11-05 |