Provider Demographics
NPI:1699404319
Name:GIFT OF MERCY ADULT HEALTH SERVICES
Entity type:Organization
Organization Name:GIFT OF MERCY ADULT HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEM
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:774-413-0427
Mailing Address - Street 1:53 STATE ST STE 500
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-3111
Mailing Address - Country:US
Mailing Address - Phone:617-945-8998
Mailing Address - Fax:
Practice Address - Street 1:53 STATE ST STE 500
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-3111
Practice Address - Country:US
Practice Address - Phone:617-945-8998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company