Organization Name: | STARLA LEE DBA AUTHENTIC TOUCH DIRECT CARE SERVICES |
NPI Number: | 1003150855 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STARLA LEE (OWNER) |
Mailing Address: | 255 S Plaza Way Cape Girardeau |
State: | MO US |
Postal Code: | 637035834 |
Phone Number: | 3143046708 |
Fax Number: | 5733390878 |
NPI Enumeration Date: | 11/18/2012 |
NPI Last Update Date: | 11/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 21520747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |