Provider Demographics
NPI:1316754377
Name:MERRITT'S TOTAL CARE LLC
Entity type:Organization
Organization Name:MERRITT'S TOTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZYKERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-884-9367
Mailing Address - Street 1:5364 SAND BAR LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH FULTON
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3069
Mailing Address - Country:US
Mailing Address - Phone:404-884-9367
Mailing Address - Fax:
Practice Address - Street 1:5364 SAND BAR LN
Practice Address - Street 2:
Practice Address - City:SOUTH FULTON
Practice Address - State:GA
Practice Address - Zip Code:30349-3069
Practice Address - Country:US
Practice Address - Phone:404-884-9367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care