MEDICARE: CYNTHIA'S TOUCH SENIOR SERVICES 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	3747P1801X	Personal Care Attendant	011784	TX

General Provider Information

NPI Number	:	1578714291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNTHIA'S TOUCH SENIOR SERVICES INC.

Provider Business Mailing Address
First Line	:	1110 N LOOP 336 W
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-1193
Country	:	US
Telephone Number	:
Fax Number	:	936-539-0030

Provider Business Practice Location Address
First Line	:	1110 N LOOP 336 W
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-1193
Country	:	US
Telephone Number	:	936-441-6470
Fax Number	:	936-539-0030

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CYNTHIA RATCLIFF
Credential	:
Telephone Number	:	936-441-6470

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	10/01/2008

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