# MERCY FAMILY HEALTHCARE, INC

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

## Provider details

- **NPI number:** 1780039297
- **Authorized official:** DR. LILIAN IFEOMA AKWUBA DNP-CRNP (PRESIDENT)
- **Authorized official phone:** (334) 239-7020

## Contact information

- **Practice address:** 128 MITYLENE PARK DR., MONTGOMERY, AL 36117-3548
- **Practice address phone:** (334) 239-7020
- **Practice address fax:** (334) 239-7034
- **Mailing address:** 128 MITYLENE PARK DR., MONTGOMERY, AL 36117-3548
- **Mailing address phone:** (334) 239-7020
- **Mailing address fax:** (334) 239-7034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 1-103472 | AL | Yes |
| 363LF0000X | Family Nurse Practitioner | 1-103472 | AL | — |

## Other

- **Enumeration date:** 05/03/2016
- **Last updated:** 11/09/2017