| NPI | 1598750895 |
|---|---|
| Doing Business As | PROVIDENCE MARIANWOOD |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Dir Reimb Admin & Asst Sec Enrollmt 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1177) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2019-02-15 |