Organization
MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
Active
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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