Provider Demographics
NPI:1083369284
Name:A GENTLE TOUCH COMPANION AGENCY ,LLC
Entity Type:Organization
Organization Name:A GENTLE TOUCH COMPANION AGENCY ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONNIERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-536-6802
Mailing Address - Street 1:630 S ORANGE AVE STE 301A
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7504
Mailing Address - Country:US
Mailing Address - Phone:941-536-6802
Mailing Address - Fax:
Practice Address - Street 1:630 S ORANGE AVE STE 301A
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7504
Practice Address - Country:US
Practice Address - Phone:941-536-6802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care