| NPI | 1477647444 |
|---|---|
| Doing Business As | PROVIDENCE ST. ELIZABETH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 920000070) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-03-10 |