Healthcare Provider Details

I. General information

NPI: 1104624378
Provider Name (Legal Business Name): MAES TOUCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 03/04/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1149 W MAIN ST
DOTHAN AL
36301-1411
US

IV. Provider business mailing address

1104 EASTWOOD DR
DOTHAN AL
36301-5416
US

V. Phone/Fax

Practice location:
  • Phone: 334-796-7684
  • Fax:
Mailing address:
  • Phone: 334-796-7684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NICHOLE A ALLEN
Title or Position: OWNER
Credential: RN
Phone: 334-796-7684