NPI | 1447401260 |
---|---|
Other Name | PROVIDENCE ST MARY TCU |
Entity Type | Organization |
Authorized Contact | SUSAN A COLUMBER Director Of Finance Rc Management 509-522-5290 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA H-050) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2014-11-05 |