Provider Demographics
NPI:1841951738
Name:HOLISTIC HEALING HOME HEALTH LLC
Entity type:Organization
Organization Name:HOLISTIC HEALING HOME HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWILY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-310-9151
Mailing Address - Street 1:23043 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3435
Mailing Address - Country:US
Mailing Address - Phone:313-310-9151
Mailing Address - Fax:313-447-2777
Practice Address - Street 1:23043 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3435
Practice Address - Country:US
Practice Address - Phone:313-310-9151
Practice Address - Fax:313-447-2777
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLISTIC HEALING HOME HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-04
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory