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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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