Organization
MERCED CARE HOME LLC
Active
Other names
Melba Merced
Organization subpart
No
Provider details
NPI number
Authorized official
MELBA MERCED (PRESIDENT)
(813) 516-4399
Entity
Organization
Contact information
Practice address
4616 N LINCOLN AVE, TAMPA, FL 33614-6634
(813) 516-4399
Mailing address
PO BOX 273372, TAMPA, FL 33688-3372
(813) 516-4399
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015674300
—
FL
Enumeration date
06/11/2016
Last updated
06/11/2016
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