Organization
MERCY DRIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTABELLA COCHRAN (EXECUTIVE DIRECTOR)
(718) 793-2158
Entity
Organization
Contact information
Practice address
7235 112TH ST, FOREST HILLS, NY 11375-5469
(718) 793-2158
Mailing address
7235 112TH ST, FOREST HILLS, NY 11375-5469
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02725166
—
NY
05
—
02934132
—
NY
Enumeration date
11/22/2013
Last updated
11/22/2013
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