Provider Demographics
NPI:1881304426
Name:MERCY TOUCH CORP
Entity type:Organization
Organization Name:MERCY TOUCH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOLULOPE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FAFOWORA
Authorized Official - Suffix:
Authorized Official - Credentials:MBCHB
Authorized Official - Phone:410-564-9667
Mailing Address - Street 1:7741 VENICE LN
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-3265
Mailing Address - Country:US
Mailing Address - Phone:443-238-2488
Mailing Address - Fax:
Practice Address - Street 1:7741 VENICE LN
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-3265
Practice Address - Country:US
Practice Address - Phone:443-238-2488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)