| NPI | 1790873461 |
|---|---|
| Doing Business As | PROVIDENCE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2023-11-21 |