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NPI Code Detail

MEDICARE: MERLEE INC

MEDICARE: MERLEE INC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1669877072
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERLEE INC
Provider Business Mailing Address
First Line : 1421 GUERNEVILLE RD STE 200
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-7238
Country : US
Telephone Number : 707-200-2260
Fax Number : 707-200-2342
Provider Business Practice Location Address
First Line : 6528 OAKMONT DR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95409-5917
Country : US
Telephone Number : 707-200-2260
Fax Number : 707-200-2342
Authorized Official
Title or Position : PRESIDENT
Name : CATHY OLSEN
Credential :
Telephone Number : 530-828-8320
Provider Enumeration Date : 10/28/2014
Last Update Date : 04/04/2024

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Directions to “MERLEE INC ” Practice Location

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