MEDICARE: MOTHER CARE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	251S00000X	PA

General Provider Information

NPI Number	:	1447498837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHER CARE INC.

Provider Business Mailing Address
First Line	:	6423 CLEARVIEW ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19119-2041
Country	:	US
Telephone Number	:	215-528-2927
Fax Number	:	215-657-4387

Provider Business Practice Location Address
First Line	:	6423 CLEARVIEW ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19119-2041
Country	:	US
Telephone Number	:	215-528-2927
Fax Number	:	215-657-4387

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

Provider Enumeration Date	:	01/23/2009
Last Update Date	:	01/23/2009

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Directions to “MOTHER CARE INC. ” Practice Location

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