| NPI | 1174774673 |
|---|---|
| Doing Business As | PROVIDENCE ST JOSEPH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2021-10-12 |