Provider Demographics
NPI:1477917078
Name:ATOUCHOFCARE
Entity Type:Organization
Organization Name:ATOUCHOFCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE FACILITATOR
Authorized Official - Prefix:
Authorized Official - First Name:KEYONA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-321-4268
Mailing Address - Street 1:304 CONFEDERATE RUN CT
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23075-1100
Mailing Address - Country:US
Mailing Address - Phone:804-321-4268
Mailing Address - Fax:804-321-4254
Practice Address - Street 1:304 CONFEDERATE RUN CT
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23075-1100
Practice Address - Country:US
Practice Address - Phone:804-321-4268
Practice Address - Fax:804-321-4254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-09
Last Update Date:2016-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0179763625251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management