Provider Demographics
NPI:1316637267
Name:HOLISTIC HOSPICE LLC
Entity type:Organization
Organization Name:HOLISTIC HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYEDMOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SULAIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-814-4777
Mailing Address - Street 1:1080 EAGLES LANDING PKWY
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-5012
Mailing Address - Country:US
Mailing Address - Phone:678-814-4777
Mailing Address - Fax:
Practice Address - Street 1:1080 EAGLES LANDING PKWY
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5012
Practice Address - Country:US
Practice Address - Phone:678-814-4777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based