| NPI | 1831289826 |
|---|---|
| Doing Business As | PROVIDENCE HOME MEDICAL EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Asst Sec For Enroll/Dir Reimb Admin 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OR NPC-0002697) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-11-24 |