Organization
MERCY SERVICES, LLC
Active
Other names
Legacy Caregiving
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE BAISE (ADMINISTRATOR)
(317) 374-2593
Entity
Organization
Contact information
Practice address
4855 S EMERSON AVE STE 202, INDIANAPOLIS, IN 46203-6931
(317) 374-2593
(317) 981-1985
Mailing address
4855 S EMERSON AVE STE 202, INDIANAPOLIS, IN 46203-6931
(317) 374-2593
(317) 981-1985
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027988
—
IN
Enumeration date
11/03/2020
Last updated
06/17/2024
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