Organization
MERCY MEDICAL CENTER HOME HEALTH & HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID K STEWART (SR. VP FINANCE / CFO)
(330) 489-1131
Entity
Organization
Contact information
Practice address
4369 WHIPPLE AVE NW, CANTON, OH 44718-2643
(234) 203-3223
Mailing address
1050 FORRER BLVD, KETTERING, OH 45420-1472
(937) 299-1111
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0045HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298771
—
OH
Enumeration date
01/20/2016
Last updated
03/28/2018
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