Organization
MERCY CARE PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH I LIKAMBI (ADMINISTRATOR)
(301) 538-0207
Entity
Organization
Contact information
Practice address
10015 OLD COLUMBIA RD STE B215, COLUMBIA, MD 21046-1865
(410) 309-7052
Mailing address
4804 CONTINENTAL DR, OLNEY, MD 20832-2943
(301) 260-1777
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
R3446
MD
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/07/2013
Last updated
05/10/2023
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