Provider Demographics
NPI:1841591708
Name:HEALING TOUCH HOME CARE AGENCY
Entity Type:Organization
Organization Name:HEALING TOUCH HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-918-6075
Mailing Address - Street 1:950 CAMPGROUND RD
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-8795
Mailing Address - Country:US
Mailing Address - Phone:910-918-6075
Mailing Address - Fax:
Practice Address - Street 1:805 NORTH FRANLIN STREET
Practice Address - Street 2:SUITE 110/111
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-8795
Practice Address - Country:US
Practice Address - Phone:910-918-6075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4220253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care