1205726254 NPI number — A PERSONAL TOUCH CARE LLC

Table of content: MR. MATTHEW CLAY DILLWORTH LPC, NCC (NPI 1578779278)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205726254 NPI number — A PERSONAL TOUCH CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A PERSONAL TOUCH CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205726254
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12506 MART CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UPPER MARLBORO
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20774-5636
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-753-3573
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3261 OLD WASHINGTON RD STE 2030
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALDORF
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20602-3311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-388-8152
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/09/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MALLOY
Authorized Official First Name:
NERISSA
Authorized Official Middle Name:
SOLOMON
Authorized Official Title or Position:
CEO/OWNER
Authorized Official Telephone Number:
202-804-9210

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)