Organization
MERCYLODGE HEALTHCARE SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEWUNMI RACHEAL ADEWOLE (ADMINISTRATOR)
(443) 985-0515
Entity
Organization
Contact information
Practice address
18 LIBERTY PL APT 9, WINDSOR MILL, MD 21244-2555
(443) 985-0515
Mailing address
18 LIBERTY PL APT 9, WINDSOR MILL, MD 21244-2555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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