Organization
ST MARY MERCY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SPIVEY (PREESIDENT & CEO)
(734) 655-1611
Entity
Organization
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
(734) 655-1274
Mailing address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
(734) 655-1274
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
822312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20243
BLUE CROSS SUBSTANCE ABUS
MI
Enumeration date
03/09/2007
Last updated
11/03/2015
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