| NPI | 1952386369 |
|---|---|
| Doing Business As | PROVIDENCE MOUNT ST VINCENT |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 77) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WA BH-198) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2021-11-03 |