Healthcare Provider Details

I. General information

NPI: 1497917736
Provider Name (Legal Business Name): A GENTLE TOUCH HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 07/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E 100 S SUITE 102
SAINT GEORGE UT
84770-2318
US

IV. Provider business mailing address

50 E 100 S SUITE 102
SAINT GEORGE UT
84770-2318
US

V. Phone/Fax

Practice location:
  • Phone: 435-674-3640
  • Fax:
Mailing address:
  • Phone: 435-674-3640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2007-HHA-80724
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. NICHOLAS ALLEN LYNCH
Title or Position: ADMINISTRATOR
Credential:
Phone: 435-674-3640