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NPI Code Detail

MEDICARE: MERRIMACK VALLEY OPERATIONS, LLC

MEDICARE: MERRIMACK VALLEY OPERATIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1235505629
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERRIMACK VALLEY OPERATIONS, LLC
Provider Business Mailing Address
First Line : 3001 KEITH ST NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3713
Country : US
Telephone Number : 423-473-5751
Fax Number : 423-339-8342
Provider Business Practice Location Address
First Line : 80 BOSTON RD
Second Line :
City : NORTH BILLERICA
State : MA
Zip : 01862-1034
Country : US
Telephone Number : 978-667-2166
Fax Number : 978-670-5625
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : CINDY CROSS
Credential :
Telephone Number : 423-473-5867
Provider Enumeration Date : 08/19/2015
Last Update Date : 08/19/2015

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Directions to “MERRIMACK VALLEY OPERATIONS, LLC ” Practice Location

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