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Organization
MERCY DRIVE REGIONAL CORPORATION
Active
Organization
MERCY DRIVE REGIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTABELLA COCHRAN (OWNER)
(718) 725-9896
Entity
Organization
Contact information
Practice address
498-500 FERRY STREET 1ST FLOOR, NEWARK, NJ 07105
(718) 725-9896
Mailing address
498-500 FERRY STREET 1ST FLOOR, NEWARK, NJ 07105
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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