Organization
MERCY HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVE LYN JUANITA RIVERA (MEDICAL ADMINISTRATOR)
(314) 469-0102
Entity
Organization
Contact information
Practice address
42 4 SEASONSSHOP CTR, SUITE 132, CHESTERFIELD, MO 63017-3195
(314) 469-0102
(314) 469-0104
Mailing address
42 4 SEASONSSHOP CTR, SUITE 132, CHESTERFIELD, MO 63017-3195
(314) 469-0102
(314) 469-0104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MO
Other
Enumeration date
12/09/2006
Last updated
02/26/2008
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