Organization
MERCY HOME FOR CHILDREN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SR.CATHERINE CRUMLISH (EXECUTIEVE DIRECTOR)
(718) 832-1075
Entity
Organization
Contact information
Practice address
878 MANHATTAN AVE, BROOKLYN, NY 11222-2309
(718) 349-2377
Mailing address
243 PROSPECT PARK W, BROOKLYN, NY 11215-5807
(718) 832-1075
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01114965
MEDICAID PROVDIER ID #
NY
Enumeration date
02/28/2008
Last updated
02/28/2008
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