| NPI | 1508058520 |
|---|---|
| Other Name | PROVIDENCE CENTRALIA HOSPITAL PT |
| Entity Type | Organization |
| Authorized Contact | THOMAS RISSE CFO Swsa Region 360-493-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: WA 602399531) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-10-21 |