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Contact Information

MERCYLIFE NJ LIMITED LIABILITY COMPANY
28 CAMBRIA AVE
PLEASANTVILLE, NJ08232-2204
 Phone: 609-484-8227
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MERCYLIFE NJ LIMITED LIABILITY COMPANY

NPI # 1457783326
LBN Legal business name MERCYLIFE NJ LIMITED LIABILITY COMPANY
Authorized official MICHAEL CASSELBERRY - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2013
Last updated 08/02/2013 - About 13 years ago
Identifiers
NJ License # 100616
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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