MEDICARE: HEALING 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
1	251E00000X	Home Health Agency	360414	MN

General Provider Information

NPI Number	:	1912241225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING TOUCH HOME CARE LLC

Provider Business Mailing Address
First Line	:	1647 LIBERTY ST
Second Line	:
City	:	SHAKOPEE
State	:	MN
Zip	:	55379-4546
Country	:	US
Telephone Number	:	952-688-7164
Fax Number	:	763-205-1703

Provider Business Practice Location Address
First Line	:	1647 LIBERTY ST
Second Line	:
City	:	SHAKOPEE
State	:	MN
Zip	:	55379-4546
Country	:	US
Telephone Number	:	952-688-7164
Fax Number	:	763-205-1703

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ESTHER M WAKO
Credential	:
Telephone Number	:	952-688-7164

Provider Enumeration Date	:	11/27/2012
Last Update Date	:	11/27/2012

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