Organization
MERCURY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRISON TANNER WALDRON RN (OWNER)
(419) 672-9141
Entity
Organization
Contact information
Practice address
8051 RIDGE VLY, WOODSTOCK, GA 30189-7048
(419) 672-9141
Mailing address
8051 RIDGE VLY, WOODSTOCK, GA 30189-7048
(419) 672-9141
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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