Organization
MERCYS SUPPORTIVE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC CONRAD BRAKE (ADMINISTRATOR)
(252) 443-6811
Entity
Organization
Contact information
Practice address
932 COBBLE RIDGE RD, NASHVILLE, NC 27856-7868
(252) 443-6811
(252) 443-6811
Mailing address
932 COBBLE RIDGE RD, NASHVILLE, NC 27856-7868
(252) 443-6811
(252) 443-6811
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL064-027
NC
Other
Enumeration date
01/23/2015
Last updated
03/04/2015
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