# MERCY ADULT FOSTER CARE, LLC

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

## Provider details

- **NPI number:** 1487470050
- **Authorized official:** EZRA WOLDEAMLAK RN, MPH (PRESIDENT)
- **Authorized official phone:** (617) 909-2052

## Contact information

- **Practice address:** 50 MERIDIAN ST UNIT 456, BOSTON, MA 02128-7020
- **Practice address phone:** (617) 909-2052
- **Mailing address:** 50 MERIDIAN ST UNIT 456, BOSTON, MA 02128-7020
- **Mailing address phone:** (617) 909-2052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/28/2024
- **Last updated:** 11/28/2024