| NPI | 1205499126 |
|---|---|
| Doing Business As | PROVIDENCE EXPRESS CARE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2025-05-06 |