Provider Demographics
NPI:1578171351
Name:MERCYFUL TOUCH HOMECARE LLC
Entity Type:Organization
Organization Name:MERCYFUL TOUCH HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:O
Authorized Official - Last Name:KADRI
Authorized Official - Suffix:
Authorized Official - Credentials:NA
Authorized Official - Phone:757-383-0346
Mailing Address - Street 1:265 TOWNS WALK DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-7977
Mailing Address - Country:US
Mailing Address - Phone:757-383-0346
Mailing Address - Fax:
Practice Address - Street 1:265 TOWNS WALK DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-7977
Practice Address - Country:US
Practice Address - Phone:757-383-0346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care