Provider Demographics
NPI:1528566213
Name:A PERSONAL TOUCH LIVING CENTER LLC
Entity Type:Organization
Organization Name:A PERSONAL TOUCH LIVING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-540-6931
Mailing Address - Street 1:18631 BELL RAVINE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5925
Mailing Address - Country:US
Mailing Address - Phone:832-540-6931
Mailing Address - Fax:
Practice Address - Street 1:18631 BELL RAVINE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-5925
Practice Address - Country:US
Practice Address - Phone:832-540-6931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-27
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility