Provider Demographics
NPI:1407110422
Name:GOLDEN TOUCH LICENSED PRACTICAL NURSING SERVICES PC
Entity Type:Organization
Organization Name:GOLDEN TOUCH LICENSED PRACTICAL NURSING SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:917-407-9875
Mailing Address - Street 1:628 STRATTON DR
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18302-6723
Mailing Address - Country:US
Mailing Address - Phone:917-407-9875
Mailing Address - Fax:570-369-4551
Practice Address - Street 1:2117 BUFFALO RD # 132
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1507
Practice Address - Country:US
Practice Address - Phone:917-407-9875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262548164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty