Provider Demographics
NPI:1124894944
Name:SPLENDID TOUCH HOMECARE
Entity type:Organization
Organization Name:SPLENDID TOUCH HOMECARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AREA DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABIDEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:APATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-722-7738
Mailing Address - Street 1:4356 ANDASIO LOOP SE
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-1234
Mailing Address - Country:US
Mailing Address - Phone:719-722-7738
Mailing Address - Fax:
Practice Address - Street 1:4356 ANDASIO LOOP SE
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-1234
Practice Address - Country:US
Practice Address - Phone:719-722-7738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care