Provider Demographics
NPI:1588396022
Name:SOUTHERN TOUCH HEALTHCARE LLC
Entity type:Organization
Organization Name:SOUTHERN TOUCH HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-727-4537
Mailing Address - Street 1:101 NW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-2814
Mailing Address - Country:US
Mailing Address - Phone:561-727-4534
Mailing Address - Fax:561-516-7230
Practice Address - Street 1:101 NW 16TH ST
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-2814
Practice Address - Country:US
Practice Address - Phone:561-727-4537
Practice Address - Fax:561-516-7230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty