MEDICARE: REACH OUT AND TOUCH, 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1811221427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REACH OUT AND TOUCH, INC

Provider Business Mailing Address
First Line	:	804 BRITTANY LN
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-2173
Country	:	US
Telephone Number	:	318-742-3570
Fax Number	:	318-227-8510

Provider Business Practice Location Address
First Line	:	804 BRITTANY LN
Second Line	:
City	:	BOSSIER CITY
State	:	LA
Zip	:	71111-2173
Country	:	US
Telephone Number	:	318-742-3570
Fax Number	:	318-227-8510

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MYRTIS LAJUAN EDWARDS
Credential	:
Telephone Number	:	318-742-3570

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	09/29/2009

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