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Organization

MERCY HOME FOR CHILDREN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SR. CATHERINE CRUMLISH (EXECUTIVE DIRECTOR)
(718) 832-1075
Entity
Organization

Contact information

Practice address
114 SIXTH AVENUE, BROOKLYN, NY 11217-4417
(718) 230-0898
(718) 230-0954
Mailing address
243 PROSPECT PARK W, BROOKLYN, NY 11215-5807
(718) 832-1075
(718) 499-9189

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00577757
MEDICAID PROVIDER ID #
NY
Enumeration date
02/29/2008
Last updated
02/29/2008
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