MEDICARE: PERSONAL TOUCH HOME CARE OF FLORIDA, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1659589661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH HOME CARE OF FLORIDA, INC.

Provider Business Mailing Address
First Line	:	22215 NORTHERN BLVD
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-3603
Country	:	US
Telephone Number	:	718-468-4747
Fax Number	:	718-264-5834

Provider Business Practice Location Address
First Line	:	8001 SW 36TH ST
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-1915
Country	:	US
Telephone Number	:	954-474-7070
Fax Number	:	954-474-4140

Authorized Official
Title or Position	:	CONTRACT MANAGER
Name	:	LORIGAY LASKIN
Credential	:
Telephone Number	:	718-468-4747

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/18/2007

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