| NPI | 1093911778 |
|---|---|
| Doing Business As | MERCY MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | JON R VITIELLO CFO 479-338-2907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2009-01-26 |