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Organization
MERCY LONG TERM CARE INITIATIVES, INC.
Active
Organization
MERCY LONG TERM CARE INITIATIVES, INC.
Active
Other names
Providence Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROBERT LEE CPA (CFO)
(812) 945-5221
Entity
Organization
Contact information
Practice address
4915 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 945-5221
(812) 945-2614
Mailing address
4915 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 945-5221
(812) 945-2614
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
IN
Other
Enumeration date
09/30/2005
Last updated
08/22/2020
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