Organization
MERCY HOME SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEPHINE OKEKE (CEO)
(336) 508-1903
Entity
Organization
Contact information
Practice address
3221 EDENWOOD DR, GREENSBORO, NC 27406-5219
(336) 508-1903
(336) 508-1903
Mailing address
3221 EDENWOOD DR, GREENSBORO, NC 27406-5219
(336) 375-8399
(336) 375-8399
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-041736
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000000000
—
NC
Enumeration date
05/21/2007
Last updated
09/05/2024
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