Healthcare Provider Details

I. General information

NPI: 1215483086
Provider Name (Legal Business Name): TENDER TOUCH IN HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2538 DILLON HWY
LAKE VIEW SC
29563-5440
US

IV. Provider business mailing address

800 NANNYBERRY LN
CONCORD NC
28025-9046
US

V. Phone/Fax

Practice location:
  • Phone: 980-439-2829
  • Fax:
Mailing address:
  • Phone: 980-439-2829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TONY CRIBB
Title or Position: AGENCY DIRECTOR
Credential: RN
Phone: 980-439-2829