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NPI Code Detail

MEDICARE: MERCY HEALTH SERVICES

MEDICARE: MERCY HEALTH SERVICES
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
1251E00000XHome Health AgencyR2858RMD
2251E00000XHome Health Agency
3253Z00000XIn Home Supportive Care Agency
4376J00000XHomemaker
5385H00000XRespite Care
6372500000XChore Provider

General Provider Information

NPI Number : 1780915868
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HEALTH SERVICES
Provider Business Mailing Address
First Line : 52 JOYCETON WAY
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-1400
Country : US
Telephone Number : 240-602-1995
Fax Number : 301-333-4779
Provider Business Practice Location Address
First Line : 52 JOYCETON WAY
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-1400
Country : US
Telephone Number : 240-602-1995
Fax Number : 301-333-4779
Authorized Official
Title or Position : ADNIMISTRATOR/OWNER
Name : KATHERINE JALLOH
Credential :
Telephone Number : 301-717-9836
Provider Enumeration Date : 01/28/2010
Last Update Date : 01/08/2020

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Directions to “MERCY HEALTH SERVICES ” Practice Location

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