His Mercy Assisted LLC

NPI #1366030561 in Avondale, Arizona

Provider Information

NPI Number: 1366030561
Entity Type: Organization
Organization Name: His Mercy Assisted LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 4, 2021
Last Updated: Jan 4, 2021

Practice Location

Address: 12362 W JOBLANCA RD
City: Avondale
State: Arizona
ZIP Code: 85323-3130
Phone: (623) 600-8926

Authorized Official

Name: AYO AGORO, CEO
Title: OWNER
Phone: (623) 600-8926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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