Organization
NEW MERCYS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIKA BROWN LPN (ADMINISTRATOR)
(850) 570-9994
Entity
Organization
Contact information
Practice address
1458 RUSTLING PINES BLVD, MIDWAY, FL 32343-2239
(850) 570-9994
(850) 765-5904
Mailing address
1458 RUSTLING PINES BLVD, MIDWAY, FL 32343-2239
(850) 570-9994
(850) 765-5904
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL13159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020311800
—
FL
Enumeration date
04/27/2018
Last updated
06/16/2018
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