Healthcare Provider Details

I. General information

NPI: 1417989013
Provider Name (Legal Business Name): MRN CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 05/19/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 MILL ST
MARION MA
02738-1546
US

IV. Provider business mailing address

25 RAILROAD SQ SUITE 302
HAVERHILL MA
01832-5721
US

V. Phone/Fax

Practice location:
  • Phone: 508-748-3830
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number3573
License Number StateMA

VIII. Authorized Official

Name: MR. PHILIP M ARCIDI
Title or Position: VP OF FINANCE
Credential:
Phone: 978-556-5900