| NPI | 1417978164 |
|---|---|
| Doing Business As | PROVIDENCE BENEDICTINE NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Asst Sec For Enroll/Dir Reimb Admin 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 385018) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 385018) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-01-28 |