| NPI | 1952495772 |
|---|---|
| Doing Business As | PROV HEALTH SYS-OR SHARED-SVS DIV |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Corp Secretary For Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-12-29 |