| 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 W ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-05-09 |