Healthcare Provider Details

I. General information

NPI: 1487989919
Provider Name (Legal Business Name): TENDER MERCIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2009
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3747 WAKE FOREST RD
DURHAM NC
27703-3634
US

IV. Provider business mailing address

PO BOX 21254
DURHAM NC
27703-1254
US

V. Phone/Fax

Practice location:
  • Phone: 919-598-4617
  • Fax: 919-957-3296
Mailing address:
  • Phone: 919-598-4617
  • Fax: 919-957-3296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: DR. MOSES O OLANREWAJU
Title or Position: PRESIDENT/CEO
Credential: PH.D.
Phone: 919-598-4617