Provider Demographics
NPI:1073055000
Name:LAURA'S TENDER TOUCH
Entity Type:Organization
Organization Name:LAURA'S TENDER TOUCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-340-3900
Mailing Address - Street 1:3707 VIRGINIA BEACH BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-3412
Mailing Address - Country:US
Mailing Address - Phone:757-340-3900
Mailing Address - Fax:757-340-3902
Practice Address - Street 1:3707 VIRGINIA BEACH BLVD
Practice Address - Street 2:SUITE 213
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-3412
Practice Address - Country:US
Practice Address - Phone:757-340-3900
Practice Address - Fax:757-340-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2016-264373-R251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health