Provider Demographics
NPI:1588947063
Name:MERCIFUL HANDS DAY PROGRAM, INC
Entity type:Organization
Organization Name:MERCIFUL HANDS DAY PROGRAM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:AMAKA
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-508-1903
Mailing Address - Street 1:2 RIDGE GROVE CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1527
Mailing Address - Country:US
Mailing Address - Phone:336-508-1903
Mailing Address - Fax:336-763-2053
Practice Address - Street 1:1203 BRANDT STREET
Practice Address - Street 2:SUITE E
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2517
Practice Address - Country:US
Practice Address - Phone:336-508-1903
Practice Address - Fax:336-763-2053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-937251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health