| NPI | 1558693291 |
|---|---|
| Doing Business As | PROVIDENCE INFUSION AND HOME MEDICAL EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Asst Sec For Enroll/Dir Reimb Admin 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2024-03-07 |