Organization
MERCI HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARENA SPELLER DIYOMBI RN (ADMINISTRATOR)
(706) 332-8175
Entity
Organization
Contact information
Practice address
113 VILLAGE PL, NEWNAN, GA 30265-5708
(706) 332-8175
Mailing address
113 VILLAGE PL, NEWNAN, GA 30265-5708
(706) 332-8175
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCP010909
PRIVATE HOMECARE PROVIDER PERMIT
GA
Enumeration date
12/19/2020
Last updated
12/19/2020
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