Provider Demographics
NPI:1003187485
Name:TENDER TOUCH PRIVATE CARE
Entity Type:Organization
Organization Name:TENDER TOUCH PRIVATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ITSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-414-9712
Mailing Address - Street 1:1227 AUGUSTA WEST PARKWAY
Mailing Address - Street 2:SUITE 22
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909
Mailing Address - Country:US
Mailing Address - Phone:706-414-9712
Mailing Address - Fax:
Practice Address - Street 1:1227 AUGUSTA WEST PKWY
Practice Address - Street 2:SUITE 22
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6670
Practice Address - Country:US
Practice Address - Phone:706-414-9712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALCB20110001132251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health