| NPI | 1790873461 |
|---|---|
| Doing Business As | PROVIDENCE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-05-15 |