Provider Demographics
NPI:1952733792
Name:WYNMAR, INC
Entity Type:Organization
Organization Name:WYNMAR, INC
Other - Org Name:NURSE NEXT DOOR, PUGET SOUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, RDH
Authorized Official - Phone:206-852-2966
Mailing Address - Street 1:1329 237TH PL SW
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-9428
Mailing Address - Country:US
Mailing Address - Phone:425-420-4211
Mailing Address - Fax:
Practice Address - Street 1:1329 237TH PL SW
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9428
Practice Address - Country:US
Practice Address - Phone:425-420-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-03
Last Update Date:2013-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60378199251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health