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Organization

MERRYFIELD

Active
Other names
Merryfield ICF-MR
Organization subpart
No

Provider details

NPI number
Authorized official
EDWINA ANDREWS (REIMBURSEMENT MANAGER)
(540) 965-2135
Entity
Organization

Contact information

Practice address
111 HORSE MOUNTAIN VW, COVINGTON, VA 24426-6402
(540) 962-7732
Mailing address
205 E HAWTHORNE ST, COVINGTON, VA 24426-1620
(540) 965-2135

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
127-01-011
VA

Other

Enumeration date
01/15/2010
Last updated
01/23/2024
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