Organization
MERCY MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCY N FODJE (ADMINISTRATOR)
(240) 462-7165
Entity
Organization
Contact information
Practice address
308 TOLBELT CT, STAFFORD, VA 22554-7599
(540) 657-9037
Mailing address
308 TOLBELT CT, STAFFORD, VA 22554-7599
(540) 657-9037
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
—
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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