MEDICARE: TOUCHING LIVES CENTER 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	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881750008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOUCHING LIVES CENTER INC.

Provider Business Mailing Address
First Line	:	501 DANDELION PL
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-2131
Country	:	US
Telephone Number	:	919-247-9414
Fax Number	:	919-833-5500

Provider Business Practice Location Address
First Line	:	616 TUCKER ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-1232
Country	:	US
Telephone Number	:	919-247-9414
Fax Number	:	919-833-5500

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. CARL KENT SPELLER SR.
Credential	:
Telephone Number	:	919-247-9414

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	08/22/2020

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