Holista, LLC
Health Maintenance Organization in Menomonee Falls, WI. Organization (NPI-2).
NPI number1982205035
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1982205035
- Entity type
- Organization (NPI-2)
- Legal business name
- Holista, LLC
- Organization subpart
- No
- Enumeration date
- Nov 5, 2020
- Certification date
- Oct 21, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
W140n8981 Lilly RdMenomonee Falls, WI 53051-2325
Phone 262-834-3871
Mailing address
W140n8981 Lilly RdMenomonee Falls, WI 53051-2325
Phone 262-834-3871
Authorized official
Lisa Sweeney
Cfo/Treasurer
2628346170
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