Provider Demographics
NPI:1932541570
Name:TOUCH OF GRACE
Entity Type:Organization
Organization Name:TOUCH OF GRACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELITHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-359-6422
Mailing Address - Street 1:9 N 3RD ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-3439
Mailing Address - Country:US
Mailing Address - Phone:540-359-6422
Mailing Address - Fax:540-359-6674
Practice Address - Street 1:9 N 3RD ST
Practice Address - Street 2:SUITE 103
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3439
Practice Address - Country:US
Practice Address - Phone:540-359-6422
Practice Address - Fax:540-359-6674
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSOLIDATED BUSINESS ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-14988253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care