Healthcare Provider Details
I. General information
NPI: 1821076605
Provider Name (Legal Business Name): MERCY TRANSITIONAL CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2006
Last Update Date: 06/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
301 SAINT PAUL PL TCU 9TH FLOOR TOWER
BALTIMORE MD
21202-2102
US
IV. Provider business mailing address
PO BOX 64733
BALTIMORE MD
21264-4733
US
V. Phone/Fax
- Phone: 410-332-9287
- Fax: 410-545-4516
- Phone: 410-332-9287
- Fax: 410-545-4516
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MELINDA
HIPPCHEN
SAUDERS
Title or Position: ADMINISTRATOR
Credential: RN,LNHA
Phone: 410-332-9091