Organization
MERCY MINE HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCY KAKHU (DIRECTOR)
(336) 686-2932
Entity
Organization
Contact information
Practice address
2 BALIOL CT, GREENSBORO, NC 27407-6601
(336) 686-2932
Mailing address
2 BALIOL CT, GREENSBORO, NC 27407-6601
(336) 686-2932
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4639
NC
251J00000X
Nursing Care Agency
HC4639
NC
253Z00000X
In Home Supportive Care Agency
HC4639
NC
Other
Enumeration date
12/08/2013
Last updated
12/08/2013
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