Provider Demographics
NPI:1891474920
Name:A TOUCH OF GRACE RESOURCE CENTER
Entity Type:Organization
Organization Name:A TOUCH OF GRACE RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MINNIE
Authorized Official - Middle Name:LASHUNDOLYN
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-737-7777
Mailing Address - Street 1:509 15TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-4707
Mailing Address - Country:US
Mailing Address - Phone:205-737-7777
Mailing Address - Fax:
Practice Address - Street 1:509 15TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-4707
Practice Address - Country:US
Practice Address - Phone:205-737-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347C00000XTransportation ServicesPrivate Vehicle
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty