Provider Demographics
NPI:1215369178
Name:A GENTLE TOUCH SENIOR HOME & HEALTH CARE
Entity Type:Organization
Organization Name:A GENTLE TOUCH SENIOR HOME & HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-647-7622
Mailing Address - Street 1:260 W MAIN ST
Mailing Address - Street 2:SUITE 15
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8322
Mailing Address - Country:US
Mailing Address - Phone:631-647-7622
Mailing Address - Fax:631-647-7623
Practice Address - Street 1:260 W MAIN ST
Practice Address - Street 2:SUITE 15
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8322
Practice Address - Country:US
Practice Address - Phone:631-647-7622
Practice Address - Fax:631-647-7623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care