Provider Demographics
NPI:1326728577
Name:MY FATHERS TOUCH IN HOME CARE LLC
Entity Type:Organization
Organization Name:MY FATHERS TOUCH IN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MANIGAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-530-2411
Mailing Address - Street 1:PO BOX 40331
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29423-0331
Mailing Address - Country:US
Mailing Address - Phone:843-530-2411
Mailing Address - Fax:
Practice Address - Street 1:2155 N PARK LN STE 203
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9261
Practice Address - Country:US
Practice Address - Phone:843-530-2411
Practice Address - Fax:843-608-7371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care