Organization
HOUSE OF MERCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERNEY THOMAS SR. (CEO)
(337) 363-4521
Entity
Organization
Contact information
Practice address
1021 MARTIN LUTHER KING DR, VILLE PLATTE, LA 70586-4833
(337) 363-4521
(337) 363-4524
Mailing address
1021 MARTIN LUTHER KING DRIVE, VILLE PLATTE, LA 70586
(337) 363-4521
(337) 363-4524
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6113
LA
332B00000X
Durable Medical Equipment & Medical Supplies
6581
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1175561
—
LA
Enumeration date
07/15/2006
Last updated
11/05/2010
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