NPI | 1366030561 |
---|---|
Doing Business As | HIS MERCY ASSISTED LLC |
Entity Type | Organization |
Authorized Contact | AYO AGORO Owner 623-600-8926 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-01-04 |
Last Update Date | 2021-01-04 |