Provider Demographics
NPI:1851108526
Name:MOTHER TOUCH LLC
Entity type:Organization
Organization Name:MOTHER TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:T
Authorized Official - Last Name:MAHTAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-436-2771
Mailing Address - Street 1:121 HEATHER RD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-3208
Mailing Address - Country:US
Mailing Address - Phone:646-436-2771
Mailing Address - Fax:
Practice Address - Street 1:121 HEATHER RD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-3208
Practice Address - Country:US
Practice Address - Phone:646-436-2771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care