| NPI | 1366634503 |
|---|---|
| Doing Business As | PROVIDENCE MOUNT SAINT VINCENT |
| Entity Type | Organization |
| Authorized Contact | JOE VOLLMER Billing Supervisor 425-254-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: WA 77) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |