Provider Demographics
NPI:1285409128
Name:GYAMFI, MERCY
Entity type:Individual
Prefix:
First Name:MERCY
Middle Name:
Last Name:GYAMFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2641 CHAMBERLAIN RD APT 4
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4160
Mailing Address - Country:US
Mailing Address - Phone:330-766-3872
Mailing Address - Fax:
Practice Address - Street 1:2641 CHAMBERLAIN RD APT 4
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4160
Practice Address - Country:US
Practice Address - Phone:330-766-3872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver