# MERCY HOUSE LIVING CENTERS

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

## Provider details

- **NPI number:** 1467114066
- **Authorized official:** MR. LARRY HAYNES (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (714) 836-7188

## Contact information

- **Practice address:** 203 N GOLDEN CIRCLE DR, SANTA ANA, CA 92705-4010
- **Practice address phone:** (714) 836-7188
- **Practice address fax:** (714) 836-7901
- **Mailing address:** PO BOX 1905, SANTA ANA, CA 92702-1905
- **Mailing address phone:** (714) 836-7188
- **Mailing address fax:** (714) 836-7901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2021
- **Last updated:** 10/11/2021