Healthcare Provider Details

I. General information

NPI: 1811166911
Provider Name (Legal Business Name): GENTLE TOUCH PERSONAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 FOXCROFT DR
SLIDELL LA
70461-3420
US

IV. Provider business mailing address

405 FOXCROFT DR
SLIDELL LA
70461-3420
US

V. Phone/Fax

Practice location:
  • Phone: 985-288-7642
  • Fax:
Mailing address:
  • Phone: 985-288-7642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MRS. TEMECHIUS LA'TRECE REYNOLDS
Title or Position: OWNER
Credential:
Phone: 985-288-7642