Organization
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
Active
Other names
Sanctuary at Bellbrook
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE HARRIS (CEO)
(248) 305-7688
Entity
Organization
Contact information
Practice address
873 W AVON RD, ROCHESTER HILLS, MI 48307-2705
(248) 656-3239
(248) 656-3269
Mailing address
PO BOX 9184, FARMINGTON HILLS, MI 48333-9184
(248) 305-7919
(348) 305-7677
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
634018
MI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-3174550
—
MI
Enumeration date
10/11/2006
Last updated
02/24/2010
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