Provider Demographics
NPI:1053757658
Name:HANDS OF MERCY
Entity type:Organization
Organization Name:HANDS OF MERCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SELF EMPLOYED CONTRACTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:RHYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-978-6507
Mailing Address - Street 1:1400 GRAY HWY
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31211-1901
Mailing Address - Country:US
Mailing Address - Phone:478-978-6507
Mailing Address - Fax:478-978-6508
Practice Address - Street 1:1400 GRAY HWY
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31211-1901
Practice Address - Country:US
Practice Address - Phone:478-978-6507
Practice Address - Fax:478-978-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0011744692251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health