Provider Demographics
NPI:1154507804
Name:THE TENDER TOUCH
Entity Type:Organization
Organization Name:THE TENDER TOUCH
Other - Org Name:NANCY WELLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:DME
Authorized Official - Phone:770-394-4431
Mailing Address - Street 1:27 BASSWOOD CIR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4514
Mailing Address - Country:US
Mailing Address - Phone:770-394-4431
Mailing Address - Fax:770-394-4432
Practice Address - Street 1:27 BASSWOOD CIR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4514
Practice Address - Country:US
Practice Address - Phone:770-394-4431
Practice Address - Fax:770-394-4432
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE TENDER TOUCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00254317AMedicaid
GA0126760001Medicare NSC