Provider Demographics
NPI:1154560894
Name:SPECIAL TOUCH GROUP HOME, L.L.C.
Entity type:Organization
Organization Name:SPECIAL TOUCH GROUP HOME, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:D
Authorized Official - Last Name:HARDISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-354-1888
Mailing Address - Street 1:837 3RD ST
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-4701
Mailing Address - Country:US
Mailing Address - Phone:318-354-1888
Mailing Address - Fax:318-354-1889
Practice Address - Street 1:1405 W LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-4878
Practice Address - Country:US
Practice Address - Phone:318-354-1888
Practice Address - Fax:318-354-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No305S00000XManaged Care OrganizationsPoint of Service