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NPI Code Detail

MEDICARE: MERCY HOME CARE

MEDICARE: MERCY HOME CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency4033AND

General Provider Information

NPI Number : 1871593723
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HOME CARE
Provider Business Mailing Address
First Line : 1301 15TH AVE W
Second Line :
City : WILLISTON
State : ND
Zip : 58801-3821
Country : US
Telephone Number : 701-774-7400
Fax Number :
Provider Business Practice Location Address
First Line : 1301 15TH AVE W
Second Line :
City : WILLISTON
State : ND
Zip : 58801-3821
Country : US
Telephone Number : 701-774-7400
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. KIM MILLER
Credential :
Telephone Number : 701-774-7400
Provider Enumeration Date : 07/21/2005
Last Update Date : 08/22/2020

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Directions to “MERCY HOME CARE ” Practice Location

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