Mercy Life, Incorporated

NPI #1104199850 in West Springfield, Massachusetts

Provider Information

NPI Number: 1104199850
Entity Type: Organization
Organization Name: Mercy Life, Incorporated
Subpart: Yes (part of a larger organization)
Parent Organization: SISTERS OF PROVIDENCE HEALTH SYSTEM
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Feb 10, 2012
Last Updated: Feb 10, 2012

Practice Location

Address: 2112 RIVERDALE ST
City: West Springfield
State: Massachusetts
ZIP Code: 01089-1024
Phone: (413) 539-2917

Authorized Official

Name: MR. CHRISTOPHER MCLAUGHLIN
Title: CHIEF OPERATING OFFICER
Phone: (413) 539-2917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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