Provider Demographics
NPI:1043519911
Name:LIFE TOUCH PRIMARY HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:LIFE TOUCH PRIMARY HOME CARE SERVICES, LLC
Other - Org Name:LIFE TOUCH PRIMARY HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-682-9188
Mailing Address - Street 1:801 E FERN AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1496
Mailing Address - Country:US
Mailing Address - Phone:956-682-9188
Mailing Address - Fax:956-664-0107
Practice Address - Street 1:801 E FERN AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1496
Practice Address - Country:US
Practice Address - Phone:956-682-9188
Practice Address - Fax:956-664-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care