| NPI | 1700890514 |
|---|---|
| Doing Business As | PROVIDENCE LITTLE COMPANY OF MARY HOME HEALTH |
| Doing Business As | POVIDENCE HOME HEALTH LA COUNTY SOUTH |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-10-24 |