Provider Demographics
NPI:1447977160
Name:GENTLE TOUCH SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:GENTLE TOUCH SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-805-6175
Mailing Address - Street 1:2323 LAKE CLUB DR STE 224
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-3101
Mailing Address - Country:US
Mailing Address - Phone:614-805-6175
Mailing Address - Fax:614-694-2296
Practice Address - Street 1:2323 LAKE CLUB DR STE 224
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-3101
Practice Address - Country:US
Practice Address - Phone:614-694-2082
Practice Address - Fax:614-694-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health