=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881718625
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A TOUCH OF LOVE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3704 NW BRIARWOOD DR
-----------------------------------------------------
City | BLUE SPRINGS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64015-2518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-665-9013
-----------------------------------------------------
Fax | 816-228-6949
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3704 NW BRIARWOOD DR
-----------------------------------------------------
City | BLUE SPRINGS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-665-9013
-----------------------------------------------------
Fax | 816-228-6949
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | SHIRLY DIANE NORTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 816-665-9013
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------