Healthcare Provider Details
I. General information
NPI: 1578796033
Provider Name (Legal Business Name): TOUCH LIFE CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2009
Last Update Date: 09/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 GOLF RD STE 1200
ROLLING MEADOWS IL
60008-4229
US
IV. Provider business mailing address
3455 MILL RUN DR STE 310B
HILLIARD OH
43026-9082
US
V. Phone/Fax
- Phone: 800-481-1346
- Fax: 847-222-1891
- Phone: 614-388-8086
- Fax: 614-388-8096
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MARK
FORD
Title or Position: DIRECTOR
Credential:
Phone: 614-388-8075