Provider Demographics
NPI:1154974541
Name:TRACIE'S LOVING TOUCH SENIOR SERVICES LLC
Entity type:Organization
Organization Name:TRACIE'S LOVING TOUCH SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RASBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-943-4004
Mailing Address - Street 1:18273 LENORE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-3046
Mailing Address - Country:US
Mailing Address - Phone:248-943-6200
Mailing Address - Fax:
Practice Address - Street 1:18273 LENORE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-3046
Practice Address - Country:US
Practice Address - Phone:248-943-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care