MEDICARE: GRACE AND MERCY HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1326880469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE AND MERCY HOME CARE

Provider Business Mailing Address
First Line	:	1107 MIMOSA DR
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-4313
Country	:	US
Telephone Number	:	478-219-7320
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107 MIMOSA DR
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31204-4313
Country	:	US
Telephone Number	:	478-219-7320
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VERONICA BROWN
Credential	:	CNA
Telephone Number	:	478-219-7320

Provider Enumeration Date	:	06/10/2024
Last Update Date	:	06/10/2024

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Directions to “GRACE AND MERCY HOME CARE ” Practice Location

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