Provider Demographics
NPI:1518336296
Name:SPECIAL TOUCH LIVING
Entity Type:Organization
Organization Name:SPECIAL TOUCH LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRT
Authorized Official - Middle Name:
Authorized Official - Last Name:EURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-891-7600
Mailing Address - Street 1:11262 HERITAGE GREEN DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-7405
Mailing Address - Country:US
Mailing Address - Phone:704-891-7600
Mailing Address - Fax:
Practice Address - Street 1:11262 HERITAGE GREEN DRIVE
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031
Practice Address - Country:US
Practice Address - Phone:704-891-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-060-141261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2177KEMedicaid