Organization
MERCY RESTORATIVE CARE HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA YOUNG (CFO)
(972) 943-1225
Entity
Organization
Contact information
Practice address
2001 VAIL AVE, SEVENTH FLOOR SOUTH, CHARLOTTE, NC 28207-1219
(704) 379-5117
(704) 379-6425
Mailing address
7800 DALLAS PKWY STE 200, PLANO, TX 75024-4082
(972) 943-1225
(972) 943-6401
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
H0278
NC
284300000X
Special Hospital
H0278
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400180
—
NC
01
—
H0278
HOSPITAL LICENSE NUMBER
NC
Enumeration date
11/11/2005
Last updated
01/19/2018
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