# SHIRLEY HARDEN MERRITT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elderly and Independent
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003924283
- **Authorized official:** MRS. SHIRLEY HARDEN MERRITT CNA (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (770) 207-5426

## Contact information

- **Practice address:** 122 RIDGEWAY DR, MONROE, GA 30655-5276
- **Practice address phone:** (770) 207-5426
- **Mailing address:** PO BOX 703, MONROE, GA 30655-0703
- **Mailing address phone:** (770) 207-5426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 06/20/2008