Provider Demographics
NPI:1902482813
Name:HOLISTIC TRANSITIONS HEALTHCARE LLC
Entity Type:Organization
Organization Name:HOLISTIC TRANSITIONS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-817-6345
Mailing Address - Street 1:5219 WADENA ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55807-2634
Mailing Address - Country:US
Mailing Address - Phone:952-994-6469
Mailing Address - Fax:
Practice Address - Street 1:5219 WADENA ST
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55807-2634
Practice Address - Country:US
Practice Address - Phone:952-994-6469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care