Organization
GENTLE TOUCH HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORTIA DOCKETT (CEO)
(870) 489-2201
Entity
Organization
Contact information
Practice address
5210 W 13TH AVE, PINE BLUFF, AR 71603-1636
(870) 489-2201
Mailing address
5210 W 13TH AVE, PINE BLUFF, AR 71603-1636
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000
NON-MEDICAL
—
Enumeration date
10/31/2022
Last updated
10/31/2022
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