Healthcare Provider Details

I. General information

NPI: 1518080860
Provider Name (Legal Business Name): TOUCHING LIVES PERSONAL CARE HOME. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6859 CAVALIER CT
STONE MOUNTAIN GA
30087-6332
US

IV. Provider business mailing address

6859 CAVALIER CT
STONE MOUNTAIN GA
30087-6332
US

V. Phone/Fax

Practice location:
  • Phone: 678-476-0458
  • Fax:
Mailing address:
  • Phone: 678-476-0458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateGA

VIII. Authorized Official

Name: CECILYN MURRAY-RICHARDSON
Title or Position: CEO
Credential:
Phone: 678-476-0458