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Organization

MERCYCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGERATE NCHACK MFORMOH (DIRECTOR)
(240) 667-6892
Entity
Organization

Contact information

Practice address
2791 NW 166TH CT, CLIVE, IA 50325-4687
(240) 667-6892
Mailing address
2791 NW 166TH CT, CLIVE, IA 50325-4687
(240) 667-6892

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
06/26/2025
Last updated
06/26/2025
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