Provider Demographics
NPI:1770727190
Name:PERSONAL TOUCH HOMECARE,LLC
Entity type:Organization
Organization Name:PERSONAL TOUCH HOMECARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:COLTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-394-8449
Mailing Address - Street 1:328 GASTON SPRING CT
Mailing Address - Street 2:
Mailing Address - City:GASTON
Mailing Address - State:SC
Mailing Address - Zip Code:29053-8440
Mailing Address - Country:US
Mailing Address - Phone:803-394-8449
Mailing Address - Fax:
Practice Address - Street 1:335 W. THIRD ST.
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:SC
Practice Address - Zip Code:29160
Practice Address - Country:US
Practice Address - Phone:803-394-8449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251E00000X
251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health