Provider Demographics
NPI:1457612954
Name:IN TOUCH MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:IN TOUCH MEDICAL GROUP LLC
Other - Org Name:NEW OUTLOOK HOMECARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEALTH COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALIZAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIDRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-797-4864
Mailing Address - Street 1:51 UNION ST
Mailing Address - Street 2:SUITE 114
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1194
Mailing Address - Country:US
Mailing Address - Phone:508-797-4864
Mailing Address - Fax:
Practice Address - Street 1:51 UNION ST
Practice Address - Street 2:SUITE 114
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1194
Practice Address - Country:US
Practice Address - Phone:508-797-4864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health