Provider Demographics
NPI:1679072797
Name:MERRIMACK VALLEY HEALTH SOLUTIONS
Entity type:Organization
Organization Name:MERRIMACK VALLEY HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MORUPH
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUOLALE
Authorized Official - Suffix:
Authorized Official - Credentials:BSCPH
Authorized Official - Phone:833-668-4710
Mailing Address - Street 1:13 MILL ST
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3213
Mailing Address - Country:US
Mailing Address - Phone:833-668-4710
Mailing Address - Fax:
Practice Address - Street 1:13 MILL ST
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-3213
Practice Address - Country:US
Practice Address - Phone:833-668-4710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-04
Last Update Date:2018-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health