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Organization

MERCY CARES LLC

Active
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Organization

MERCY CARES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHAMED FARAH (CEO/FOUNDER)
(503) 593-6859
Entity
Organization

Contact information

Practice address
2644 E PARADISE LN APT D, PHOENIX, AZ 85032-2945
(503) 593-6859
Mailing address
2644 E PARADISE LN APT D, PHOENIX, AZ 85032-2945
(503) 593-6859

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL

Other

Enumeration date
10/13/2020
Last updated
10/13/2020
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