Organization
THE HOUSE OF MERCY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZUNILDA PUENTES (PRESIDENT)
(239) 257-9636
Entity
Organization
Contact information
Practice address
1418 SE 28TH TER, CAPE CORAL, FL 33904-3917
(239) 257-9636
(786) 717-6435
Mailing address
1418 SE 28TH TER, CAPE CORAL, FL 33904-3917
(239) 257-9636
(786) 717-6435
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159200
—
FL
Enumeration date
04/11/2019
Last updated
12/10/2021
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