Provider Demographics
NPI:1760080311
Name:HORSEY, MERCEDES VIRGINIA
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:VIRGINIA
Last Name:HORSEY
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 1:11471 APPLEDOWRE WAY
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-5508
Mailing Address - Country:US
Mailing Address - Phone:240-460-9911
Mailing Address - Fax:
Practice Address - Street 1:531 G ST SW APT 102
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2748
Practice Address - Country:US
Practice Address - Phone:202-760-8070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide