Organization
MARYVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE M BAILEY (PAYER ENROLLMENT SPECIALIST)
(856) 227-2717
Entity
Organization
Contact information
Practice address
526 S BURNT MILL RD, VOORHEES, NJ 08043-2205
(856) 227-2717
(856) 227-6499
Mailing address
526 S BURNT MILL RD, VOORHEES, NJ 08043-2205
(856) 227-2717
(856) 227-6499
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
05/16/2025
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