Provider Demographics
NPI:1801412648
Name:PERSONAL TOUCH HOME CARE OF W.VA., INC.
Entity Type:Organization
Organization Name:PERSONAL TOUCH HOME CARE OF W.VA., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-468-4747
Mailing Address - Street 1:155 N QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-3311
Mailing Address - Country:US
Mailing Address - Phone:304-202-4854
Mailing Address - Fax:304-757-0522
Practice Address - Street 1:155 N QUEEN ST
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-3311
Practice Address - Country:US
Practice Address - Phone:304-202-4854
Practice Address - Fax:304-757-0522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health