Provider Demographics
NPI:1164075982
Name:A TOUCH OF GRACE INC
Entity Type:Organization
Organization Name:A TOUCH OF GRACE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:THOMASEEC
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:910-867-9754
Mailing Address - Street 1:120 WESTLAKE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-4451
Mailing Address - Country:US
Mailing Address - Phone:910-867-9754
Mailing Address - Fax:910-867-4600
Practice Address - Street 1:2153 HEATHCOTE DRIVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314
Practice Address - Country:US
Practice Address - Phone:910-867-9754
Practice Address - Fax:910-867-4600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A TOUCH OF GRACE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-21
Last Update Date:2019-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty