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Mercy's Quality Home Care, Llc300562457
Pediatric Skilled Nursing Facility in Stockbridge, Georgia
NPI 1053732842

Mercy's Quality Home Care, Llc300562457 is a Pediatric Skilled Nursing Facility based in Stockbridge, GA and is specialized in Nursing Care, Pediatric. Mercy's Quality Home Care, Llc300562457 practices in Stockbridge, GA. The NPI Number for Mercy's Quality Home Care, Llc300562457 is 1053732842 and holds a License No. 075-R-1030 (Georgia).

The current practice location address for Mercy's Quality Home Care, Llc300562457 is 120 Northberry St., Stockbridge, GA and can be reached out via phone at 678-608-7151 and via fax at 678-289-9256.

Location: 120 Northberry St., Stockbridge, GA, 30281-1093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053732842
Provider Name
Mercy's Quality Home Care, Llc300562457
Credential
Provider Entity Type
Organization
Address
120 Northberry St., Stockbridge, GA, 30281-1093
Phone Number
678-608-7151
Fax Number
678-289-9256
Provider Enumeration Date
12/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003137789A 01 GA MEDICAID PROVIDER #
003137788A 01 GA MEDICAID PROVIDER #
institution
Provider Business Practice Location Address Details
Address
120 Northberry St.
City
Stockbridge
State
Georgia
Zip
30281-1093
Phone Number
678-608-7151
Fax Number
678-289-9256
person
Provider Business Mailing Address Details
Address
120 Northberry St.
City
Stockbridge
State
Georgia
Zip
30281-1093
Phone Number
678-608-7151
Fax Number
678-289-9256
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
075-R-1030 (Georgia)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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