Organization Name: | MERCY HEALTH SERVICES LLC |
NPI Number: | 1346325032 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC J EOLOFF (CHIEF OPERATING OFFICER) |
Mailing Address: | 13185 Lakefront Dr Suite 120 Earth City |
State: | MO US |
Postal Code: | 630451510 |
Phone Number: | 3145066050 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 11/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |