Provider Demographics
NPI:1669877072
Name:MERLEE INC
Entity type:Organization
Organization Name:MERLEE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-828-8320
Mailing Address - Street 1:1421 GUERNEVILLE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-7238
Mailing Address - Country:US
Mailing Address - Phone:707-200-2260
Mailing Address - Fax:707-200-2342
Practice Address - Street 1:6528 OAKMONT DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95409-5917
Practice Address - Country:US
Practice Address - Phone:707-200-2260
Practice Address - Fax:707-200-2342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health