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Organization

FIRST MERCY HOMES LLC

Active
Other names
First Mercy Homes LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MOHOMED O YUSUF (MANAGER)
(206) 915-3015
Entity
Organization

Contact information

Practice address
15723 FAIR HILL WAY, APPLE VALLEY, MN 55124-5256
(206) 915-3015
Mailing address
7800 METRO PKWY STE 110, BLOOMINGTON, MN 55425-1528
(206) 915-3015

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
02/25/2020
Last updated
02/25/2020
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