MEDICARE: CARING HANDS TOUCH OF LOVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	385H00000X	Respite Care
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558847624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS TOUCH OF LOVE

Provider Business Mailing Address
First Line	:	6680 S SIWELL RD
Second Line	:
City	:	BYRAM
State	:	MS
Zip	:	39212-9659
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 PACIFIC PL APT 1014
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-3717
Country	:	US
Telephone Number	:	601-573-9270
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAWANDA JORDAN
Credential	:
Telephone Number	:	601-573-9270

Provider Enumeration Date	:	07/12/2018
Last Update Date	:	07/12/2018

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Directions to “CARING HANDS TOUCH OF LOVE ” Practice Location

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