Organization
PERSONAL TOUCH ACTIVITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE HENRY (OWNER)
(225) 993-1183
Entity
Organization
Contact information
Practice address
25134 LA HIGHWAY 16, DENHAM SPRINGS, LA 70726-6446
(225) 308-5206
(225) 308-5207
Mailing address
PO BOX 87116, BATON ROUGE, LA 70879-8116
(225) 993-1183
(225) 667-4998
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15518
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234
—
LA
Enumeration date
07/28/2016
Last updated
07/28/2016
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