Healthcare Provider Details

I. General information

NPI: 1942021860
Provider Name (Legal Business Name): PERFECT TOUCH SVCS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 MARKET ST
SUFFOLK VA
23434-5236
US

IV. Provider business mailing address

416 MARKET ST
SUFFOLK VA
23434-5236
US

V. Phone/Fax

Practice location:
  • Phone: 757-809-1409
  • Fax:
Mailing address:
  • Phone: 757-809-1409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KA'DEEM RIDDICK
Title or Position: CEO
Credential:
Phone: 757-809-1409