Organization
MERCY LONG TERM CARE INITIATIVES, INC.
Active
Other names
Providence Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROBERT LEE CPA (CFO)
(812) 945-5221
Entity
Organization
Contact information
Practice address
4915 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 945-5221
(812) 945-2614
Mailing address
4915 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 945-5221
(812) 945-2614
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
IN
Other
Enumeration date
09/30/2005
Last updated
08/22/2020
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