Provider Demographics
NPI:1205009297
Name:GENTLE TOUCH SERVICES INC
Entity Type:Organization
Organization Name:GENTLE TOUCH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:SOCIAL WORK
Authorized Official - Phone:318-398-0111
Mailing Address - Street 1:1405 METRO DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315
Mailing Address - Country:US
Mailing Address - Phone:318-443-1194
Mailing Address - Fax:318-443-3837
Practice Address - Street 1:1405 METRO DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3448
Practice Address - Country:US
Practice Address - Phone:318-443-1194
Practice Address - Fax:318-443-3837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9689-EPSDT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1469670Medicaid