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
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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