| Holistic Health & Wellness Sc | |
|
4965 Stone Falls Ctr Suite # 7 O Fallon IL 62269-7802 | |
| (618) 624-9384 | |
| (618) 624-9386 |
| Full Name | Holistic Health & Wellness Sc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4965 Stone Falls Ctr, O Fallon, Illinois |
| Authorized Official Name and Position | Tomasita A Lahue (HEALTH DIRECTOR) |
| Authorized Official Contact | 6186249384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Health & Wellness Sc 4965 Stone Falls Ctr Suite # 7 O Fallon IL 62269-7802 Ph: (618) 624-9384 | Holistic Health & Wellness Sc 4965 Stone Falls Ctr Suite # 7 O Fallon IL 62269-7802 Ph: (618) 624-9384 |
| NPI Number | 1609010859 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 04/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609010859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 042619407 (Illinois) | Primary |
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