Provider Demographics
NPI:1053645242
Name:THE POTTERS TOUCH IN HOME CARE
Entity Type:Organization
Organization Name:THE POTTERS TOUCH IN HOME CARE
Other - Org Name:N/A
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-712-2951
Mailing Address - Street 1:2459 WALNUT ST
Mailing Address - Street 2:N/A
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17103-1750
Mailing Address - Country:US
Mailing Address - Phone:717-712-2951
Mailing Address - Fax:717-695-0979
Practice Address - Street 1:2459 WALNUT ST
Practice Address - Street 2:N/A
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17103-1750
Practice Address - Country:US
Practice Address - Phone:717-712-2951
Practice Address - Fax:717-695-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No385H00000XRespite Care FacilityRespite Care