Provider Demographics
NPI:1144608423
Name:MOTHER/DAUGHTER HOME CARE, LLC
Entity type:Organization
Organization Name:MOTHER/DAUGHTER HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WERTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-906-1924
Mailing Address - Street 1:2151 E HIGH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3289
Mailing Address - Country:US
Mailing Address - Phone:610-906-1924
Mailing Address - Fax:484-624-5217
Practice Address - Street 1:2151 E HIGH ST
Practice Address - Street 2:SUITE A
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3289
Practice Address - Country:US
Practice Address - Phone:610-906-1924
Practice Address - Fax:484-624-5217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA14363601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health