Provider Demographics
NPI:1508511601
Name:ARE, MERCY BIDEMI
Entity Type:Individual
Prefix:
First Name:MERCY
Middle Name:BIDEMI
Last Name:ARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 COUNTRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4008
Mailing Address - Country:US
Mailing Address - Phone:240-772-4140
Mailing Address - Fax:
Practice Address - Street 1:1701 COUNTRYWOOD CT
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4008
Practice Address - Country:US
Practice Address - Phone:240-772-4140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances