Provider Demographics
NPI:1154075067
Name:MERCY HEALTH SERVICES
Entity type:Organization
Organization Name:MERCY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JALLOH
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:240-606-1421
Mailing Address - Street 1:52 JOYCETON WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1400
Mailing Address - Country:US
Mailing Address - Phone:130-171-7983
Mailing Address - Fax:571-378-0554
Practice Address - Street 1:52 JOYCETON WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1400
Practice Address - Country:US
Practice Address - Phone:130-171-7983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric