Provider Demographics
NPI:1255516621
Name:MERRICK CARE CORP
Entity type:Organization
Organization Name:MERRICK CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:URUM
Authorized Official - Middle Name:O
Authorized Official - Last Name:URUM-EKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-588-2950
Mailing Address - Street 1:100 20TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:64034-8611
Mailing Address - Country:US
Mailing Address - Phone:816-588-2950
Mailing Address - Fax:816-537-4155
Practice Address - Street 1:100 20TH AVE S
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MO
Practice Address - Zip Code:64034-8611
Practice Address - Country:US
Practice Address - Phone:816-588-2950
Practice Address - Fax:816-537-4155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MON00848755103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty