Provider Demographics
NPI:1407473606
Name:TENDER MERCIES HEALTH SERVICES INC
Entity Type:Organization
Organization Name:TENDER MERCIES HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:
Authorized Official - Last Name:OLANREWAJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-938-8821
Mailing Address - Street 1:3450 TOLEDO TER APT 418
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1334
Mailing Address - Country:US
Mailing Address - Phone:240-938-8821
Mailing Address - Fax:
Practice Address - Street 1:3450 TOLEDO TER APT 418
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-1334
Practice Address - Country:US
Practice Address - Phone:240-938-8821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC400320000586OtherBASIC BUSINESS LICENSE