Healthcare Provider Details

I. General information

NPI: 1154560894
Provider Name (Legal Business Name): SPECIAL TOUCH GROUP HOME, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2009
Last Update Date: 02/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 W LAKESHORE DR
NATCHITOCHES LA
71457-4878
US

IV. Provider business mailing address

837 3RD ST
NATCHITOCHES LA
71457-4701
US

V. Phone/Fax

Practice location:
  • Phone: 318-354-1888
  • Fax: 318-354-1889
Mailing address:
  • Phone: 318-354-1888
  • Fax: 318-354-1889

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 Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALICE D HARDISON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 318-354-1888