Organization
MARIAN HOME HEALTHCARE
Active
Organization
MARIAN HOME HEALTHCARE
Active
Other names
Mercy Home Care-Sioux City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J ROBERSON (VP/CFO)
(712) 279-5850
Entity
Organization
Contact information
Practice address
711 5TH ST, SIOUX CITY, IA 51101-1302
(712) 233-5151
(712) 233-5156
Mailing address
711 5TH ST, SIOUX CITY, IA 51101-1302
(712) 233-5151
(712) 233-5156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148684
—
IA
05
—
9165160
—
SD
Enumeration date
03/07/2006
Last updated
08/22/2020
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