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General NPI Number Information
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NPI Number | 1326257965
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Entity Type | Organization
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Legal Business Name | MERCY HOME SERVICES INC.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 3221 EDENWOOD DR
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City | GREENSBORO
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State | NC
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Zip | 27406-5219
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Country | US
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Telephone | 336-508-1903
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Fax | 336-508-1903
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Provider Business Mailing Address
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Address Line | 3221 EDENWOOD DR
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City | GREENSBORO
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State | NC
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Zip | 27406-5219
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Country | US
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Telephone | 336-375-8399
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Fax | 336-375-8399
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Authorized Official
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Title or Position | CEO
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Name | MS. JOSEPHINE OKEKE
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Credential |
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Telephone | 336-508-1903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | MHL-041736
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License Number State | NC
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