Provider Demographics
NPI:1194506063
Name:ONE TOUCH HOME CARE AGENCY, LLC.
Entity type:Organization
Organization Name:ONE TOUCH HOME CARE AGENCY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAWANNA
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-221-7898
Mailing Address - Street 1:656 LINCOLN LN
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GA
Mailing Address - Zip Code:39828-3382
Mailing Address - Country:US
Mailing Address - Phone:229-377-1193
Mailing Address - Fax:229-397-1194
Practice Address - Street 1:656 LINCOLN LN
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:GA
Practice Address - Zip Code:39828-3382
Practice Address - Country:US
Practice Address - Phone:229-377-1193
Practice Address - Fax:229-397-1194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care