| NPI | 1821102757 |
|---|---|
| Doing Business As | PROVIDENCE SEWARD MOUNTAIN HAVEN |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Dir Reimb Admin & Asst Sec Enrollmt 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AK NOT NUMBERED) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-09-30 |