Provider Demographics
NPI:1760913081
Name:YOUR HEALING TOUCH PERSONAL SERVICES AGENCY, LLC
Entity Type:Organization
Organization Name:YOUR HEALING TOUCH PERSONAL SERVICES AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE MANGER
Authorized Official - Prefix:
Authorized Official - First Name:RAMEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FURNISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:3172-194-6650
Mailing Address - Street 1:10401 N MERIDIAN ST STE 220
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1146
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10401 N MERIDIAN ST STE 220
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46290-1146
Practice Address - Country:US
Practice Address - Phone:317-294-6650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN170141271253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care