Healthcare Provider Details

I. General information

NPI: 1164187050
Provider Name (Legal Business Name): A LOVING TOUCH SENIOR CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 MARKET ST BLDG K, STE 257
FLOWOOD MS
39232-3339
US

IV. Provider business mailing address

232 MARKET ST BLDG K, STE 257
FLOWOOD MS
39232-3339
US

V. Phone/Fax

Practice location:
  • Phone: 601-914-7273
  • Fax:
Mailing address:
  • Phone: 601-914-7273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BRENDA AKITI
Title or Position: DIRECTOR
Credential:
Phone: 601-914-7273