Provider Demographics
NPI:1427170273
Name:SENIORTOUCHLLC
Entity type:Organization
Organization Name:SENIORTOUCHLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:SHARON
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:410-869-0908
Mailing Address - Street 1:443 WHITFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1809
Mailing Address - Country:US
Mailing Address - Phone:410-869-0908
Mailing Address - Fax:800-858-8130
Practice Address - Street 1:443 WHITFIELD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-1809
Practice Address - Country:US
Practice Address - Phone:410-869-0908
Practice Address - Fax:800-858-8130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM00720174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty