Provider Demographics
NPI:1497280564
Name:SPECIAL TOUCH OF ORLANDO INC
Entity Type:Organization
Organization Name:SPECIAL TOUCH OF ORLANDO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-600-0631
Mailing Address - Street 1:1030 LINCOLN TER
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-2928
Mailing Address - Country:US
Mailing Address - Phone:407-600-0631
Mailing Address - Fax:
Practice Address - Street 1:1030 LINCOLN TER
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-2928
Practice Address - Country:US
Practice Address - Phone:404-600-0631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services