Organization
ST. MERCY HOME HEALTH AGENCY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTTO MARQUES (MGR)
(305) 871-2002
Entity
Organization
Contact information
Practice address
6595 NW 36TH ST, SUITE 101-D, VIRGINIA GARDENS, FL 33166-6979
(305) 871-2002
(305) 871-0004
Mailing address
6595 NW 36TH ST, SUITE 101-D, VIRGINIA GARDENS, FL 33166-6979
(305) 871-2002
(305) 871-0004
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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