Provider Demographics
NPI:1043869761
Name:A TOUCH OF HOPE SENIOR SERVICES
Entity Type:Organization
Organization Name:A TOUCH OF HOPE SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-218-6294
Mailing Address - Street 1:2205 REVEILLE CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-9190
Mailing Address - Country:US
Mailing Address - Phone:501-218-6294
Mailing Address - Fax:
Practice Address - Street 1:7600 S UNIVERSITY AVE STE 10
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-3733
Practice Address - Country:US
Practice Address - Phone:501-251-9607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health