Healthcare Provider Details

I. General information

NPI: 1023487139
Provider Name (Legal Business Name): TENDER TOUCH ADULT DAY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 ADAMS ST
LAUREL MS
39440-4365
US

IV. Provider business mailing address

1004 ADAMS ST
LAUREL MS
39440-4365
US

V. Phone/Fax

Practice location:
  • Phone: 601-410-5836
  • Fax: 888-449-9560
Mailing address:
  • Phone: 601-410-5836
  • Fax: 888-449-9560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LATONYA HAILES
Title or Position: ADMINISTRATOR
Credential:
Phone: 601-410-5836