Provider Demographics
NPI:1972611671
Name:HEALTH TOUCH RESPIRATORY SERVICES LLC
Entity Type:Organization
Organization Name:HEALTH TOUCH RESPIRATORY SERVICES LLC
Other - Org Name:HEALTH TOUCH MEDICAL SUPPLIERS LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:W
Authorized Official - Last Name:WAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-227-2885
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:KILMICHAEL
Mailing Address - State:MS
Mailing Address - Zip Code:39747
Mailing Address - Country:US
Mailing Address - Phone:662-227-2885
Mailing Address - Fax:662-227-2887
Practice Address - Street 1:1300 SUNSET DRIVE
Practice Address - Street 2:STE J
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901
Practice Address - Country:US
Practice Address - Phone:662-227-2885
Practice Address - Fax:662-227-2887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440857Medicaid
MS1252380002Medicare ID - Type Unspecified