Provider Demographics
NPI:1649037813
Name:PATRICKS GENTLE TOUCH
Entity type:Organization
Organization Name:PATRICKS GENTLE TOUCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-869-9224
Mailing Address - Street 1:6121 WILDERNESS PT
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-9627
Mailing Address - Country:US
Mailing Address - Phone:810-869-9224
Mailing Address - Fax:
Practice Address - Street 1:6121 WILDERNESS PT
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-9627
Practice Address - Country:US
Practice Address - Phone:810-869-9224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care