| NPI | 1710347661 |
|---|---|
| Doing Business As | MERCY LIFE - WEST PHILADELPHIA |
| Entity Type | Organization |
| Authorized Contact | ANNE M LEWIS Vice President Strategy And Growth 406-669-3332 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |