=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912054958
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JUST THE RIGHT TOUCH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/04/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1003 E BROAD ST SUITE 103
-----------------------------------------------------
City | MANSFIELD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76063-1716
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-896-6947
-----------------------------------------------------
Fax | 817-472-2983
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1003 E BROAD ST SUITE 103
-----------------------------------------------------
City | MANSFIELD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76063-1716
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 817-896-6947
-----------------------------------------------------
Fax | 817-472-2983
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER ADMINISTRATOR
-----------------------------------------------------
Name | MRS. DONNA RENEE PATTERSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 817-896-6947
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320600000X
-----------------------------------------------------
Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------