Provider Demographics
NPI:1457628794
Name:TOUCHING LIVES HOMECARE INC.
Entity Type:Organization
Organization Name:TOUCHING LIVES HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:KOULILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMWABE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-910-4372
Mailing Address - Street 1:1680 OLD BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2448
Mailing Address - Country:US
Mailing Address - Phone:703-910-4372
Mailing Address - Fax:
Practice Address - Street 1:1680 OLD BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2448
Practice Address - Country:US
Practice Address - Phone:703-910-4372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health