Provider Demographics
NPI:1376795815
Name:MOTHERING TOUCH LLC
Entity Type:Organization
Organization Name:MOTHERING TOUCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:ZARA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:419-525-4620
Mailing Address - Street 1:120 STURGES AVENUE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-2399
Mailing Address - Country:US
Mailing Address - Phone:419-525-4620
Mailing Address - Fax:419-522-1626
Practice Address - Street 1:120 STURGES AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-2399
Practice Address - Country:US
Practice Address - Phone:419-525-4620
Practice Address - Fax:419-522-1626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH70050215332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies