Healthcare Provider Details

I. General information

NPI: 1285001941
Provider Name (Legal Business Name): A TOUCH OF LOVING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2015
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 E COUNTY LINE RD STE 18 A
RIDGELAND MS
39157-1918
US

IV. Provider business mailing address

1620 E COUNTY LINE RD STE 18 A
RIDGELAND MS
39157-1918
US

V. Phone/Fax

Practice location:
  • Phone: 662-605-6304
  • Fax:
Mailing address:
  • Phone: 662-605-6304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. LISA MICHELLE JOHNSON
Title or Position: OWNER/OPERATOR
Credential: CNA
Phone: 662-605-6304