# CULTIVATED TOUCHES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538735055
- **Authorized official:** TAMISHA LAVETTE PETERKIN (MOBILE PHLEBOTOMIST)
- **Authorized official phone:** (240) 578-7552

## Contact information

- **Practice address:** 4922 BEAUREGARD ST APT 101, ALEXANDRIA, VA 22312-4959
- **Practice address phone:** (124) 035-5993
- **Mailing address:** 4922 BEAUREGARD ST APT 101, ALEXANDRIA, VA 22312-4959
- **Mailing address phone:** (124) 035-5993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2021
- **Last updated:** 06/07/2021