Provider Demographics
NPI:1639491780
Name:TOUCH LIFE CENTER - ATLANTA, LLC
Entity Type:Organization
Organization Name:TOUCH LIFE CENTER - ATLANTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-388-8075
Mailing Address - Street 1:260 PEACHTREE ST NW
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1202
Mailing Address - Country:US
Mailing Address - Phone:404-419-1304
Mailing Address - Fax:866-846-3838
Practice Address - Street 1:260 PEACHTREE ST NW
Practice Address - Street 2:SUITE 2200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1202
Practice Address - Country:US
Practice Address - Phone:404-419-1304
Practice Address - Fax:866-846-3838
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOUCH LIFE CENTERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-17
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier