Provider Demographics
NPI:1578852653
Name:MERCY INVESTMENT GROUP LLC
Entity type:Organization
Organization Name:MERCY INVESTMENT GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GLAZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-601-2499
Mailing Address - Street 1:16427 SAVANNAH DR
Mailing Address - Street 2:
Mailing Address - City:SPLENDORA
Mailing Address - State:TX
Mailing Address - Zip Code:77372-5925
Mailing Address - Country:US
Mailing Address - Phone:281-601-2499
Mailing Address - Fax:
Practice Address - Street 1:16427 SAVANNAH DR
Practice Address - Street 2:
Practice Address - City:SPLENDORA
Practice Address - State:TX
Practice Address - Zip Code:77372-5925
Practice Address - Country:US
Practice Address - Phone:281-601-2499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Yes341600000XTransportation ServicesAmbulance