Healthcare Provider Details

I. General information

NPI: 1154420909
Provider Name (Legal Business Name): MERCY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 WARSAW RD STE B
CLINTON NC
28328-3550
US

IV. Provider business mailing address

218 MOORE ST
CLINTON NC
28328-3208
US

V. Phone/Fax

Practice location:
  • Phone: 910-385-6559
  • Fax: 910-592-4728
Mailing address:
  • Phone: 910-385-6559
  • Fax: 910-590-5151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SONJA MARIE WHITTED
Title or Position: EXECUTIVE DIRECTOR/OWNER
Credential:
Phone: 910-385-6559