Healthcare Provider Details
I. General information
NPI: 1801034806
Provider Name (Legal Business Name): A FAMILYS TOUCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2009
Last Update Date: 03/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
107 W ANTRIM DR
GREENVILLE SC
29607-2505
US
IV. Provider business mailing address
107 W ANTRIM DR
GREENVILLE SC
29607-2505
US
V. Phone/Fax
- Phone: 864-991-3151
- Fax: 864-373-9130
- Phone: 864-991-3151
- Fax: 864-373-9130
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | SC |
VIII. Authorized Official
Name:
KAREN
MARIE
DUKES
Title or Position: OWNER
Credential: M.ED
Phone: 803-467-9090