# MERCY HOME HEALTH LLC

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

## Provider details

- **NPI number:** 1831914878
- **Authorized official:** MR. JAMAL S DIRIE BS (CO-OWNER)
- **Authorized official phone:** (608) 977-3566

## Contact information

- **Practice address:** 4857 LACY RD, FITCHBURG, WI 53711-5758
- **Practice address phone:** (608) 977-3566
- **Mailing address:** 4857 LACY RD, FITCHBURG, WI 53711-5758
- **Mailing address phone:** (608) 977-3566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/15/2024
- **Last updated:** 11/15/2024