Provider Demographics
NPI:1285060210
Name:A NURSING TOUCH
Entity type:Organization
Organization Name:A NURSING TOUCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:601-551-9883
Mailing Address - Street 1:58 BRANDON BAY LOOP
Mailing Address - Street 2:
Mailing Address - City:TYLERTOWN
Mailing Address - State:MS
Mailing Address - Zip Code:39667-7169
Mailing Address - Country:US
Mailing Address - Phone:601-551-9883
Mailing Address - Fax:
Practice Address - Street 1:58 BRANDON BAY LOOP
Practice Address - Street 2:
Practice Address - City:TYLERTOWN
Practice Address - State:MS
Practice Address - Zip Code:39667-7169
Practice Address - Country:US
Practice Address - Phone:601-551-9883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care