Organization
MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILBUR GAY (CFO)
(864) 605-3762
Entity
Organization
Contact information
Practice address
1605 STATE RD STE 8, VERMILION, OH 44089-9141
(440) 930-6015
(440) 930-6094
Mailing address
PO BOX 631334, CINCINNATI, OH 45263-1334
(888) 696-3541
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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