Provider Demographics
NPI:1730799263
Name:TOUCH OF GRACE HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:TOUCH OF GRACE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:CHARISE
Authorized Official - Last Name:PRICE-TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-299-6540
Mailing Address - Street 1:1610 JACKSON LN
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-2622
Mailing Address - Country:US
Mailing Address - Phone:314-299-6540
Mailing Address - Fax:
Practice Address - Street 1:1610 JACKSON LN
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-2622
Practice Address - Country:US
Practice Address - Phone:314-299-6540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health