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Organization

MERCURY HOME CARE

Active
Parent organization
MERCURY HEALTHCARE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCURY HEALTHCARE LLC
Authorized official
JUSTINA VASQUEZ RN (SVP OF CLINICAL AFFAIRS)
(678) 404-0060
Entity
Organization

Contact information

Practice address
225 CREEKSTONE RDG, WOODSTOCK, GA 30188-3744
(678) 404-0060
Mailing address
225 CREEKSTONE RDG, WOODSTOCK, GA 30188-3744
(678) 404-0060

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/13/2023
Last updated
10/13/2023
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