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General NPI Number Information
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NPI Number | 1598025645
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Entity Type | Organization
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Legal Business Name | MERCIFUL HANDS
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 817 ALLGOOD RD
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City | STONE MOUNTAIN
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State | GA
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Zip | 30083-4803
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Country | US
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Telephone | 404-296-1422
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 294
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City | PINE LAKE
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State | GA
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Zip | 30072-0294
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Country | US
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Telephone | 404-296-1422
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARGIE BEAL
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Credential | FNP
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Telephone | 404-296-1422
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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 | RN145126
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | NULL
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