Healthcare Provider Details

I. General information

NPI: 1811221427
Provider Name (Legal Business Name): REACH OUT AND TOUCH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2009
Last Update Date: 09/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 BRITTANY LN
BOSSIER CITY LA
71111-2173
US

IV. Provider business mailing address

804 BRITTANY LN
BOSSIER CITY LA
71111-2173
US

V. Phone/Fax

Practice location:
  • Phone: 318-742-3570
  • Fax: 318-227-8510
Mailing address:
  • Phone: 318-742-3570
  • Fax: 318-227-8510

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 Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MYRTIS LAJUAN EDWARDS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 318-742-3570