MEDICARE: MOTHER CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	252Y00000X	Early Intervention Provider Agency
4	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1740737055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHER CARE INC

Provider Business Mailing Address
First Line	:	708 EAST SHARPNACK
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19038-0828
Country	:	US
Telephone Number	:	215-528-2927
Fax Number	:	267-766-2992

Provider Business Practice Location Address
First Line	:	708 E SHARPNACK ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1535
Country	:	US
Telephone Number	:	215-528-2927
Fax Number	:	267-766-2992

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHERRY GREEN
Credential	:
Telephone Number	:	215-528-2927

Provider Enumeration Date	:	09/02/2016
Last Update Date	:	09/02/2016

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Directions to “MOTHER CARE INC ” Practice Location

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