Provider Demographics
NPI:1538701727
Name:DIVINE TOUCH CARE LLC
Entity Type:Organization
Organization Name:DIVINE TOUCH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:985-241-1875
Mailing Address - Street 1:63469 JONES CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ANGIE
Mailing Address - State:LA
Mailing Address - Zip Code:70426-3907
Mailing Address - Country:US
Mailing Address - Phone:985-516-1485
Mailing Address - Fax:
Practice Address - Street 1:63469 JONES CREEK RD
Practice Address - Street 2:
Practice Address - City:ANGIE
Practice Address - State:LA
Practice Address - Zip Code:70426-3907
Practice Address - Country:US
Practice Address - Phone:985-516-1485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-09
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care