| NPI | 1124025507 |
|---|---|
| Doing Business As | PROVIDENCE TRANSITIONAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2024-03-04 |