| 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 |