Provider Demographics
NPI:1659854990
Name:STANLEY PERSONAL TOUCH IN-HOME CARE SERVICES, INC
Entity Type:Organization
Organization Name:STANLEY PERSONAL TOUCH IN-HOME CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:BEALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-364-5643
Mailing Address - Street 1:100 PARK RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-6220
Mailing Address - Country:US
Mailing Address - Phone:757-364-5643
Mailing Address - Fax:
Practice Address - Street 1:100 PARK RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-6220
Practice Address - Country:US
Practice Address - Phone:757-364-5643
Practice Address - Fax:757-578-9268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care