Organization
MERCY HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUAD ELMI (OWNER)
(503) 995-6476
Entity
Organization
Contact information
Practice address
2057 SE 122ND AVE, PORTLAND, OR 97233-1305
(503) 995-6476
Mailing address
2057 SE 122ND AVE, PORTLAND, OR 97233-1305
(503) 995-6476
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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