Healthcare Provider Details

I. General information

NPI: 1164808622
Provider Name (Legal Business Name): HELPERS TOUCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 08/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 FRANKLIN AVE
FORTUNA CA
95540-1234
US

IV. Provider business mailing address

206 FRANKLIN AVE
FORTUNA CA
95540-1234
US

V. Phone/Fax

Practice location:
  • Phone: 707-296-4100
  • Fax:
Mailing address:
  • Phone: 707-269-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MR. JAKUB RICHARD PACZKOWSKI
Title or Position: CEO
Credential:
Phone: 707-269-4100