Organization
GRACEFUL TOUCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W MITCHELL (OWNER/ADMINISTRATOR)
(702) 293-3888
Entity
Organization
Contact information
Practice address
800 N RAINBOW BLVD, STE. 212, LAS VEGAS, NV 89107-1189
(702) 293-3888
(702) 293-3664
Mailing address
800 N RAINBOW BLVD STE 28, LAS VEGAS, NV 89107-1189
(702) 293-3888
(702) 293-3664
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NV20101141308
NV
253Z00000X
In Home Supportive Care Agency
—
—
302F00000X
Exclusive Provider Organization
NV20101141308
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891093621
—
NV
Enumeration date
04/28/2015
Last updated
11/22/2021
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