Provider Demographics
NPI:1477706513
Name:TENDER TOUCH SUPPORTED LIVING, INC.
Entity Type:Organization
Organization Name:TENDER TOUCH SUPPORTED LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FREDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-369-4583
Mailing Address - Street 1:3585 HYATTS RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9725
Mailing Address - Country:US
Mailing Address - Phone:740-369-4583
Mailing Address - Fax:740-363-3795
Practice Address - Street 1:3585 HYATTS RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9725
Practice Address - Country:US
Practice Address - Phone:740-369-4583
Practice Address - Fax:740-363-3795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2103039251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2803774Medicaid