Provider Demographics
NPI:1346775673
Name:A GENTLE TOUCH LLC
Entity Type:Organization
Organization Name:A GENTLE TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-853-9312
Mailing Address - Street 1:4780 TREES EDGE LN
Mailing Address - Street 2:
Mailing Address - City:BLACK JACK
Mailing Address - State:MO
Mailing Address - Zip Code:63033-4574
Mailing Address - Country:US
Mailing Address - Phone:314-853-9312
Mailing Address - Fax:
Practice Address - Street 1:4780 TREES EDGE LN
Practice Address - Street 2:
Practice Address - City:BLACK JACK
Practice Address - State:MO
Practice Address - Zip Code:63033-4574
Practice Address - Country:US
Practice Address - Phone:314-853-9312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health