| NPI | 1164429684 |
|---|---|
| Doing Business As | PROVIDENCE HOME HEALTH LA COUNTY NORTH |
| Doing Business As | PROVIDENCE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 980000499) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2023-01-11 |