Healthcare Provider Details

I. General information

NPI: 1891208476
Provider Name (Legal Business Name): PERSONAL TOUCH HOUSECALLS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2017
Last Update Date: 10/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7143 MORELLO LN
NOBLESVILLE IN
46062-8438
US

IV. Provider business mailing address

7143 MORELLO LN
NOBLESVILLE IN
46062-8438
US

V. Phone/Fax

Practice location:
  • Phone: 317-374-3306
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: TA'MELLA FERRON
Title or Position: CEO
Credential:
Phone: 317-374-3306