Healthcare Provider Details

I. General information

NPI: 1306287628
Provider Name (Legal Business Name): A TENDER TOUCH IN HOME SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2159 NURSERY RD #314
CLEARWATER FL
33764
US

IV. Provider business mailing address

11636 W FLORISSANT AVE
FLORISSANT MO
63033-6723
US

V. Phone/Fax

Practice location:
  • Phone: 813-419-2543
  • Fax:
Mailing address:
  • Phone: 314-524-3958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DIONNESHAE MONIQUE FORLAND
Title or Position: OWNER/ADMINISTRATOR/FINANCIAL OFFIC
Credential:
Phone: 314-524-3958