Organization
COMMUNITY MERCY HEALTH PARTNERS
Active
Parent organization
COMMUNITY MERCY HEALTH SYSTEM
Other names
Petticrew Center for Adult Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MERCY HEALTH SYSTEM
Authorized official
MARK WIENER (PRESIDENT & CEO)
(937) 328-9761
Entity
Organization
Contact information
Practice address
100 W MCCREIGHT AVE, SPRINGFIELD, OH 45504-1815
(937) 399-9910
Mailing address
100 W MCCREIGHT AVE, SPRINGFIELD, OH 45504-1815
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791791
—
OH
Enumeration date
12/09/2008
Last updated
06/24/2011
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