| NPI | 1649475948 |
|---|---|
| Doing Business As | PROVIDENCE HOME HEALTH INLAND EMPIRE |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 980001046) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-02-05 |