NPI | 1083832802 |
---|---|
Doing Business As | PROVIDENCE LIFELINE |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-04-24 |
Last Update Date | 2025-05-15 |