| Wholistic Care Services LLC | |
|
4920 Black Forest Dr Greensboro NC 27405-9807 | |
| (732) 523-4057 | |
| Not Available |
| Full Name | Wholistic Care Services LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4920 Black Forest Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Irene Essien-akpan (CEO) |
| Authorized Official Contact | 3364382909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Care Services LLC 4920 Black Forest Dr Greensboro NC 27405-9807 | Wholistic Care Services LLC 4920 Black Forest Dr Greensboro NC 27405-9807 Ph: (732) 523-4057 |
| NPI Number | 1578493037 |
|---|---|
| Provider Enumeration Date | 05/19/2026 |
| Last Update Date | 06/18/2026 |
| Certification Date | 06/18/2026 |
| Medicare PECOS PAC ID | 0941771661 |
|---|---|
| Medicare Enrollment ID | O20260603003572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578493037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Irene Adamma Essien-akpan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053116392 PECOS PAC ID: 1850862574 Enrollment ID: I20260603003802 |
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