Provider Demographics
NPI:1073977344
Name:PROFESSIONALS TOUCHING LIVES IN CARING, LLC
Entity Type:Organization
Organization Name:PROFESSIONALS TOUCHING LIVES IN CARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:MD
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT, CPI, NOTARY
Authorized Official - Phone:757-806-6212
Mailing Address - Street 1:11524 JEFFERSON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1931
Mailing Address - Country:US
Mailing Address - Phone:757-806-6212
Mailing Address - Fax:757-310-6724
Practice Address - Street 1:11524 JEFFERSON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1931
Practice Address - Country:US
Practice Address - Phone:757-806-6212
Practice Address - Fax:757-310-6724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health