Organization
MERCY HOMECARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED HAYICHOO (MANAGER)
(612) 987-1742
Entity
Organization
Contact information
Practice address
11015 OKINAWA ST NE, BLAINE, MN 55449-6205
(612) 987-1742
Mailing address
11015 OKINAWA ST NE, BLAINE, MN 55449-6205
(612) 987-1742
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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