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NPI Code Detail

MEDICARE: IN TOUCH HOME CARE, LLC

MEDICARE: IN TOUCH HOME CARE, LLC
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
1251J00000XNursing Care AgencyHC4175NC
2372600000XAdult CompanionHC4175NC
3253Z00000XIn Home Supportive Care AgencyHC4175NC

General Provider Information

NPI Number : 1770886863
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN TOUCH HOME CARE, LLC
Provider Business Mailing Address
First Line : 120 BOGUE LANDING DR
Second Line :
City : NEWPORT
State : NC
Zip : 28570-9313
Country : US
Telephone Number : 252-726-6780
Fax Number :
Provider Business Practice Location Address
First Line : 1403 BRIDGES ST
Second Line :
City : MOREHEAD CITY
State : NC
Zip : 28557-3758
Country : US
Telephone Number : 252-726-6780
Fax Number : 866-786-0848
Authorized Official
Title or Position : PRESIDENTADMINISTRATOR
Name : MRS. WANDA FAYE TEMPLE
Credential :
Telephone Number : 252-726-6780
Provider Enumeration Date : 12/10/2010
Last Update Date : 12/10/2010

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