Organization Name: | MERCY MEDICAL CENTER HOME HEALTH & HOSPICE LLC |
NPI Number: | 1336506443 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID K STEWART (SR. VP FINANCE / CFO) |
Mailing Address: | 4369 Whipple Ave Nw Canton |
State: | OH US |
Postal Code: | 447182643 |
Phone Number: | 2342033223 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2016 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0045HSP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |