| NPI | 1518425693 |
|---|---|
| Other Name | PROVIDENCE HOME MEDICAL EQUIPMENT-CORVALLIS |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Corp Secretary For Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2020-06-08 |