| NPI | 1861045445 |
|---|---|
| Doing Business As | PROVIDENCE ST ELIAS REHABILITATION UNIT |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Secretary For Enrollments 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2021-09-01 |