Provider Demographics
NPI:1639478985
Name:TENDER MERCIES
Entity Type:Organization
Organization Name:TENDER MERCIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-553-4984
Mailing Address - Street 1:9520 CACHE CREEK DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-6103
Mailing Address - Country:US
Mailing Address - Phone:505-553-4984
Mailing Address - Fax:505-508-0708
Practice Address - Street 1:9520 CACHE CREEK DR NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-6103
Practice Address - Country:US
Practice Address - Phone:505-553-4984
Practice Address - Fax:505-508-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities