Organization
MERCY HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXAMED SICIID AXMED (DIRECTOR/OWNER)
(612) 202-2560
Entity
Organization
Contact information
Practice address
3100 80TH AVE N, BROOKLYN PARK, MN 55443-2831
(651) 478-6282
(651) 478-6284
Mailing address
3100 80TH AVE N, BROOKLYN PARK, MN 55443-2831
(612) 202-2560
(651) 478-6284
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
04/28/2026
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