# MERRYCARE HOME ASSISTANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720308059
- **Authorized official:** ADAM DOUGLAS MERRYMAN B.S. (CO-OWNER, DIR OF OPERATIONS)
- **Authorized official phone:** (423) 542-6997

## Contact information

- **Practice address:** 712 W H ST, ELIZABETHTON, TN 37643-2923
- **Practice address phone:** (423) 542-6997
- **Practice address fax:** (423) 543-5651
- **Mailing address:** 712 W H ST, ELIZABETHTON, TN 37643-2923
- **Mailing address phone:** (423) 542-6997
- **Mailing address fax:** (423) 543-5651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/09/2010
- **Last updated:** 06/23/2010