Organization
MERCY HOME HEALTH BERRYVILLE
Active
Other names
Mercy Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT REYNOLDS (VP FINANCE)
(417) 820-2818
Entity
Organization
Contact information
Practice address
804 W FREEMAN, SUITE 4, BERRYVILLE, AR 72616-4303
(870) 423-5255
(870) 423-4367
Mailing address
1570 W BATTLEFIELD ST, SUITE 110, SPRINGFIELD, MO 65807-4106
(417) 820-5550
(417) 820-5551
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4614
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163874514
—
AR
Enumeration date
11/05/2006
Last updated
05/31/2012
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