Organization
MERCY HOME ASSISTED LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA LEE FERGUSON (ADMINISTRATOR/OWNER)
(386) 487-5029
Entity
Organization
Contact information
Practice address
184 S.E. BEECH STREET, LAKE CITY, FL 32025
(386) 487-5029
(386) 487-5029
Mailing address
184 S.E. BEECH STREET, LAKE CITY, FL 32025
(386) 487-5029
(386) 487-5029
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009258500
—
FL
Enumeration date
10/08/2014
Last updated
10/13/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up