Organization
MERRICK COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS IVORY (EXECUTIVE DIRECTOR)
(651) 771-8821
Entity
Organization
Contact information
Practice address
715 EDGERTON ST, SAINT PAUL, MN 55130-4549
(651) 771-9339
(651) 771-8465
Mailing address
1526 6TH ST E, SAINT PAUL, MN 55106-4806
(651) 771-8821
(651) 771-3222
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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