MEDICARE: A TOUCH OF FAITH, 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	315P00000X	Intellectual Disabilities Intermediate Care Facility

General Provider Information

NPI Number	:	1972852424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TOUCH OF FAITH, INC.

Provider Business Mailing Address
First Line	:	P O BOX 1718
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75123
Country	:	US
Telephone Number	:	972-814-3573
Fax Number	:	214-374-5683

Provider Business Practice Location Address
First Line	:	711 CORNERSTONE LANE
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75123
Country	:	US
Telephone Number	:	972-814-3573
Fax Number	:	214-374-5683

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. LYTRIANA K. HILL
Credential	:
Telephone Number	:	972-814-3573

Provider Enumeration Date	:	08/30/2012
Last Update Date	:	08/30/2012

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