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General NPI Number Information
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NPI Number | 1003821745
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Entity Type | Organization
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Legal Business Name | MERCY SENIOR CARE, INC,.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 212 W 3RD ST SW
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City | ROME
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State | GA
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Zip | 30165-2802
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Country | US
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Telephone | 706-291-8496
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Fax | 706-295-5956
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Provider Business Mailing Address
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Address Line | PO BOX 866
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City | ROME
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State | GA
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Zip | 30162-0866
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Country | US
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Telephone | 706-291-8496
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Fax | 706-295-5953
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Authorized Official
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Title or Position | DIRECTOR
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Name | RITA LAWLER
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Credential |
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Telephone | 706-291-8496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 057R0005
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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