Provider Demographics
NPI:1750660916
Name:TOUCH OF GRACE ADHC
Entity Type:Organization
Organization Name:TOUCH OF GRACE ADHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-356-5855
Mailing Address - Street 1:PO BOX 7021
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-0021
Mailing Address - Country:US
Mailing Address - Phone:318-356-5855
Mailing Address - Fax:318-352-5585
Practice Address - Street 1:500 ROYAL ST
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5713
Practice Address - Country:US
Practice Address - Phone:318-356-5855
Practice Address - Fax:318-352-5585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care