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His Mercy Assisted Llc
Mental Illness Community Based Residential Treatment Facility in Avondale, Arizona
NPI 1366030561

His Mercy Assisted Llc is a Mental Illness Community Based Residential Treatment Facility based in Avondale, AZ. His Mercy Assisted Llc practices in Avondale, AZ. The NPI Number for His Mercy Assisted Llc is 1366030561 and holds a License No. (Arizona).

The current practice location address for His Mercy Assisted Llc is 12362 W Joblanca Rd, Avondale, AZ and can be reached out via phone at 623-600-8926.

Location: 12362 W Joblanca Rd, Avondale, AZ, 85323-3130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366030561
Provider Name
His Mercy Assisted Llc
Credential
Provider Entity Type
Organization
Address
12362 W Joblanca Rd, Avondale, AZ, 85323-3130
Phone Number
623-600-8926
Fax Number
Provider Enumeration Date
01/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH6411 01 AZ STATE
institution
Provider Business Practice Location Address Details
Address
12362 W Joblanca Rd
City
Avondale
State
Arizona
Zip
85323-3130
Phone Number
623-600-8926
Fax Number
person
Provider Business Mailing Address Details
Address
12362 W Joblanca Rd
City
Avondale
State
Arizona
Zip
85323-3130
Phone Number
623-600-8926
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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