Provider Demographics
NPI:1689105645
Name:PERSONAL TOUCH ELDER CARE INC
Entity Type:Organization
Organization Name:PERSONAL TOUCH ELDER CARE INC
Other - Org Name:DESTINY CARE PROVIDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTRACT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-743-7946
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92556-1000
Mailing Address - Country:US
Mailing Address - Phone:951-484-0022
Mailing Address - Fax:951-484-0024
Practice Address - Street 1:4026 BORDEAUX LN
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-7809
Practice Address - Country:US
Practice Address - Phone:909-234-5126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility