Provider Demographics
NPI:1912679804
Name:HEALING TOUCH PERSONAL CARE, LLC
Entity Type:Organization
Organization Name:HEALING TOUCH PERSONAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:VENICE
Authorized Official - Middle Name:UGENNIE
Authorized Official - Last Name:BLAKE-MCGIBBON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-819-9532
Mailing Address - Street 1:PO BOX 180499
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:MI
Mailing Address - Zip Code:48318-0499
Mailing Address - Country:US
Mailing Address - Phone:248-819-9532
Mailing Address - Fax:586-799-7361
Practice Address - Street 1:4473 PEPPERMILL LN
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48359-2071
Practice Address - Country:US
Practice Address - Phone:248-819-9532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health