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Organization

HOUSE OF MERCY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KERNEY THOMAS (CEO)
(337) 468-3884
Entity
Organization

Contact information

Practice address
203 W. MAIN ST., VILLE PLATTE, LA 70586
(337) 363-4521
(337) 363-4524
Mailing address
203 W MAIN ST, VILLE PLATTE, LA 70586-4533
(337) 363-4521
(337) 363-4524

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1556742
LA
Enumeration date
12/24/2007
Last updated
08/09/2011
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