Provider Demographics
NPI:1326800186
Name:EMPATHETIC TOUCH ASSISTED LIVING FACILITY LLC
Entity Type:Organization
Organization Name:EMPATHETIC TOUCH ASSISTED LIVING FACILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AMOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-635-2292
Mailing Address - Street 1:87 W RUBBER TREE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-4840
Mailing Address - Country:US
Mailing Address - Phone:561-635-2292
Mailing Address - Fax:
Practice Address - Street 1:87 W RUBBER TREE DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-4840
Practice Address - Country:US
Practice Address - Phone:561-635-2292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility