| NPI | 1205499126 |
|---|---|
| Doing Business As | PROVIDENCE EXPRESS CARE |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Asst Sec For Enrollment/Dir Reimb 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2021-10-05 |