Healthcare Provider Details

I. General information

NPI: 1801756408
Provider Name (Legal Business Name): GIFTED TOUCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2025
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13838 TONY GIVENS RD
SANDERSON FL
32087-6302
US

IV. Provider business mailing address

PO BOX 312
SANDERSON FL
32087-0312
US

V. Phone/Fax

Practice location:
  • Phone: 904-207-2162
  • Fax: 904-207-2162
Mailing address:
  • Phone: 904-207-2162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MANNING
Title or Position: OWNER
Credential:
Phone: 904-207-2162