MEDICARE: PERSONAL TOUCH HOME CARE OF MO. INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	3821	MO

General Provider Information

NPI Number	:	1447239710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH HOME CARE OF MO. INC

Provider Business Mailing Address
First Line	:	22215 NORTHERN BLVD
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-3603
Country	:	US
Telephone Number	:	718-468-4747
Fax Number	:	718-264-5834

Provider Business Practice Location Address
First Line	:	141 N MERAMEC AVE
Second Line	:	#317
City	:	CLAYTON
State	:	MO
Zip	:	63105-3750
Country	:	US
Telephone Number	:	314-727-0229
Fax Number	:	314-727-3667

Authorized Official
Title or Position	:	CONTRACT MANAGER
Name	:	LORIGAY LASKIN
Credential	:
Telephone Number	:	718-468-4747

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	03/19/2008

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