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Organization
MERCURY HOME CARE
Active
Organization
MERCURY HOME CARE
Active
Parent organization
MERCURY HEALTHCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCURY HEALTHCARE LLC
Authorized official
JUSTINA VASQUEZ RN (SVP OF CLINICAL AFFAIRS)
(678) 404-0060
Entity
Organization
Contact information
Practice address
225 CREEKSTONE RDG, WOODSTOCK, GA 30188-3744
(678) 404-0060
Mailing address
225 CREEKSTONE RDG, WOODSTOCK, GA 30188-3744
(678) 404-0060
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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