Provider Demographics
NPI:1538315205
Name:HEAVENLY TOUCH LLC
Entity Type:Organization
Organization Name:HEAVENLY TOUCH LLC
Other - Org Name:HEAVENLY TOUCH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTOINE
Authorized Official - Middle Name:TWUM
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-339-2159
Mailing Address - Street 1:33006 7 MILE RD
Mailing Address - Street 2:SUITE #321
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1358
Mailing Address - Country:US
Mailing Address - Phone:313-624-5835
Mailing Address - Fax:313-748-1028
Practice Address - Street 1:15700 COYLE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-2623
Practice Address - Country:US
Practice Address - Phone:313-624-5835
Practice Address - Fax:313-748-1028
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEAVENLY TOUCH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health