Organization Name: | MERCY SENIOR CARE, INC,. |
NPI Number: | 1003821745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RITA LAWLER (DIRECTOR) |
Mailing Address: | 212 W 3rd St Sw Rome |
State: | GA US |
Postal Code: | 301652802 |
Phone Number: | 7062918496 |
Fax Number: | 7062955956 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |