Provider Demographics
NPI:1194359810
Name:FRU, MERCY BIH (HHA)
Entity type:Individual
Prefix:MRS
First Name:MERCY
Middle Name:BIH
Last Name:FRU
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11232 CHERRY HILL RD APT 203
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3836
Mailing Address - Country:US
Mailing Address - Phone:240-360-3331
Mailing Address - Fax:
Practice Address - Street 1:11232 CHERRY HILL RD APT 203
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3836
Practice Address - Country:US
Practice Address - Phone:240-360-3331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA15003374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty