Provider Demographics
NPI:1609874304
Name:A TOUCH OF GRACE INC.
Entity Type:Organization
Organization Name:A TOUCH OF GRACE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:CROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-397-8824
Mailing Address - Street 1:310B COSHOCTON AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-2632
Mailing Address - Country:US
Mailing Address - Phone:740-397-8824
Mailing Address - Fax:740-397-5728
Practice Address - Street 1:310B COSHOCTON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-2632
Practice Address - Country:US
Practice Address - Phone:740-397-8824
Practice Address - Fax:740-397-5728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:2005-07-15
Deactivation Code:
Reactivation Date:2005-07-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH66614920OtherPASSPORT 43050