Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Long-Term Care |
364SL0600X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1033140926 |
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| LBN Legal business name | MER ROUGE COMMUNITY SVC INC | ||||||||
| Authorized official | SUSAN MUSGROVE - (ADMINISTRATOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/06/2006 | ||||||||
| Last updated | 10/25/2013 - About 13 years ago | ||||||||
| Identifiers |
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