Provider Demographics
NPI:1922733492
Name:POTTERS TOUCH CARE LLC D/B/A POTTERS TOUCH CARE LLC
Entity Type:Organization
Organization Name:POTTERS TOUCH CARE LLC D/B/A POTTERS TOUCH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADETOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEGEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-274-0637
Mailing Address - Street 1:6019 DIANTHA ST
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2223
Mailing Address - Country:US
Mailing Address - Phone:214-274-0637
Mailing Address - Fax:281-828-4723
Practice Address - Street 1:6019 DIANTHA ST
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2223
Practice Address - Country:US
Practice Address - Phone:214-274-0637
Practice Address - Fax:281-828-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health