Provider Demographics
NPI:1053626721
Name:TENDER TOUCH MEDICAL SUPPLY
Entity Type:Organization
Organization Name:TENDER TOUCH MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGDON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:909-879-7889
Mailing Address - Street 1:720 E. FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376
Mailing Address - Country:US
Mailing Address - Phone:909-879-7889
Mailing Address - Fax:909-879-7526
Practice Address - Street 1:720 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-5265
Practice Address - Country:US
Practice Address - Phone:909-879-7889
Practice Address - Fax:909-879-7526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6460660001Medicare NSC