Organization
HIS MERCY ASSISTED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYOBAMI N AGORO (OWNER)
(202) 290-7492
Entity
Organization
Contact information
Practice address
15204 W WESTVIEW DR, GOODYEAR, AZ 85395-8292
(202) 290-7492
Mailing address
12362 W JOBLANCA RD, AVONDALE, AZ 85323-3130
(202) 290-7492
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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