Provider Demographics
NPI:1285001941
Name:A TOUCH OF LOVING HANDS LLC
Entity type:Organization
Organization Name:A TOUCH OF LOVING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:662-605-6304
Mailing Address - Street 1:1620 E COUNTY LINE RD
Mailing Address - Street 2:STE 18 A
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-1918
Mailing Address - Country:US
Mailing Address - Phone:662-605-6304
Mailing Address - Fax:
Practice Address - Street 1:1620 E COUNTY LINE RD
Practice Address - Street 2:STE 18 A
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-1918
Practice Address - Country:US
Practice Address - Phone:662-605-6304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care