Provider Demographics
NPI:1174361281
Name:HOLISTIC WELLNESS IN-HOME CARE
Entity type:Organization
Organization Name:HOLISTIC WELLNESS IN-HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALEAS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:305-239-5776
Mailing Address - Street 1:8925 SW 148TH ST STE 108B
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33176-8000
Mailing Address - Country:US
Mailing Address - Phone:305-239-5776
Mailing Address - Fax:786-701-8879
Practice Address - Street 1:8925 SW 148TH ST STE 108B
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33176-8000
Practice Address - Country:US
Practice Address - Phone:305-239-5776
Practice Address - Fax:786-701-8879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care