Provider Demographics
NPI:1902823610
Name:SAMARICARE OF LYNNWOOD
Entity Type:Organization
Organization Name:SAMARICARE OF LYNNWOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-771-5306
Mailing Address - Street 1:19410 36TH AVE W STE 6
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5747
Mailing Address - Country:US
Mailing Address - Phone:425-771-5306
Mailing Address - Fax:425-771-5318
Practice Address - Street 1:19410 36TH AVE W STE 6
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5747
Practice Address - Country:US
Practice Address - Phone:425-771-5306
Practice Address - Fax:425-771-5318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0102276332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies