Provider Demographics
NPI:1255866059
Name:PERSONAL TOUCH LLC
Entity Type:Organization
Organization Name:PERSONAL TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MILLSAP
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN CDFS TTS
Authorized Official - Phone:601-323-7433
Mailing Address - Street 1:614 CHIPPEWAH DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39443-7413
Mailing Address - Country:US
Mailing Address - Phone:601-425-2732
Mailing Address - Fax:601-422-0727
Practice Address - Street 1:614 CHIPPEWAH DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39443-7413
Practice Address - Country:US
Practice Address - Phone:601-425-2731
Practice Address - Fax:601-422-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-29
Last Update Date:2017-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR733788311Z00000X, 311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home