Organization
MERCY MEMORIAL HOSPITAL CORPORATION
Active
Other names
HomeCare Connection
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E. KIBBLE (VP OF BUSINESS DEVELOPMENT & STRATE)
(734) 240-1717
Entity
Organization
Contact information
Practice address
1070 N. MONROE ST, SUITE A, MONROE, MI 48162
(734) 240-1717
(734) 240-1715
Mailing address
1070 N MONROE ST., SUITE A, MONROE, MI 48162
(734) 240-1717
(734) 240-1715
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
580030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E074
BLUE CROSS
MI
05
—
3106694
—
MI
05
—
3222414
—
MI
01
—
OE074
BLUE CROSS
MI
Enumeration date
10/03/2006
Last updated
10/31/2012
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