Provider Demographics
NPI:1740581743
Name:TENDER TOUCH HOME CARE SERVICES, CO
Entity Type:Organization
Organization Name:TENDER TOUCH HOME CARE SERVICES, CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PETTAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-567-2395
Mailing Address - Street 1:409 LINCOLN ROAD
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-1727
Mailing Address - Country:US
Mailing Address - Phone:252-567-2395
Mailing Address - Fax:
Practice Address - Street 1:409 LINCOLN RD
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-1727
Practice Address - Country:US
Practice Address - Phone:252-567-2395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-06
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4223251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health