Primary Holistic Care LLC
Clinic/Center, Primary Care in Tinton Falls, NJ. Organization (NPI-2).
NPI number1508554742
StatusActive
Last updated in NPPESApr 26, 2023
Details
- NPI
- 1508554742
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Holistic Care LLC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2023
- Certification date
- Apr 26, 2023
- Last updated
- Apr 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Practice location
531 Tinton AveTinton Falls, NJ 07724-3211
Phone 848-404-6717
Mailing address
531 Tinton AveTinton Falls, NJ 07724-3211
Phone 848-404-6717
Authorized official
Ashley Flannelly
Nurse Practitioner
8484046717
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Primary Care Clinic/Center providers in Tinton Falls, NJ
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.