# MISSION OF MERCIFUL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437457736
- **Authorized official:** WALE O OLORUNDA (FOUNDER)
- **Authorized official phone:** (374) 394-6080

## Contact information

- **Practice address:** 2134 ELLIS AVE, BRONX, NY 10462-4707
- **Practice address phone:** (347) 394-6080
- **Practice address fax:** (877) 463-7470
- **Mailing address:** 2134 ELLIS AVE, BRONX, NY 10462-4707
- **Mailing address fax:** (877) 463-7470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 03/10/2011