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Organization
MISSION OF MERCIFUL INC
Active
Organization
MISSION OF MERCIFUL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALE O OLORUNDA (FOUNDER)
(374) 394-6080
Entity
Organization
Contact information
Practice address
2134 ELLIS AVE, BRONX, NY 10462-4707
(347) 394-6080
(877) 463-7470
Mailing address
2134 ELLIS AVE, BRONX, NY 10462-4707
(877) 463-7470
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NULL
251B00000X
Case Management Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
302F00000X
Exclusive Provider Organization
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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