# MERCYHOMES,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205689544
- **Authorized official:** MARYAM NUR OSMAN (ADMINISTRATOR)
- **Authorized official phone:** (612) 248-1261

## Contact information

- **Practice address:** 1103 RICH RIVER WAY, NEW RICHMOND, WI 54017-6751
- **Practice address phone:** (612) 248-1261
- **Mailing address:** 2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
- **Mailing address phone:** (612) 248-1261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 04/08/2024