Provider Demographics
NPI:1952680803
Name:LIFE TOUCH SERVICES, LLC
Entity Type:Organization
Organization Name:LIFE TOUCH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUCIUS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-737-6788
Mailing Address - Street 1:6401 IRONGATE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-6004
Mailing Address - Country:US
Mailing Address - Phone:804-737-6788
Mailing Address - Fax:804-648-3400
Practice Address - Street 1:6401 IRONGATE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-6004
Practice Address - Country:US
Practice Address - Phone:804-737-6788
Practice Address - Fax:804-648-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1080-02-006251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services