Healthcare Provider Details

I. General information

NPI: 1700118064
Provider Name (Legal Business Name): MERCY NURSINGCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2010
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6408 LAMONT DR
NEW CARROLLTON MD
20784-3318
US

IV. Provider business mailing address

6408 LAMONT DR
NEW CARROLLTON MD
20784-3318
US

V. Phone/Fax

Practice location:
  • Phone: 301-537-8328
  • Fax: 240-477-2407
Mailing address:
  • Phone: 301-537-8328
  • Fax: 240-477-2407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMD

VIII. Authorized Official

Name: MRS. MERCY ABONANJAH NDUMBI
Title or Position: R.N./D.O.N.
Credential: R.N.
Phone: 301-537-8328