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1255866059 NPI number — PERSONAL TOUCH LLC

NPI Number: 1255866059
Health Care Provider/Practitioner: PERSONAL TOUCH LLC

Information about “1255866059” NPI (PERSONAL TOUCH LLC) exists in 1255866059 in HTML format HTML  |  1255866059 in plain Text format TXT  |  1255866059 in PDF (Portable Document Format) PDF  |  1255866059 in an XML format XML  formats.

NPI Number : 1255866059 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255866059",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PERSONAL TOUCH LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "614 CHIPPEWAH DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAUREL",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39443-7413",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-425-2732",
    "MailingAddressFaxNumber": "601-422-0727",
    "FirstLinePracticeLocationAddress": "614 CHIPPEWAH DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAUREL",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39443-7413",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-425-2731",
    "PracticeLocationAddressFaxNumber": "601-422-0727",
    "EnumerationDate": "04/29/2017",
    "LastUpdateDate": "04/29/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MILLSAP",
    "AuthorizedOfficialFirstName": "MICHELE",
    "AuthorizedOfficialMiddleName": "ELIZABETH",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN BSN CDFS TTS",
    "AuthorizedOfficialTelephoneNumber": "601-323-7433",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "311ZA0620X",
          "TaxonomyName": "Adult Care Home Facility",
          "LicenseNumber": "R733788",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "311Z00000X",
          "TaxonomyName": "Custodial Care Facility",
          "LicenseNumber": "R733788",
          "LicenseNumberStateCode": "MS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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