| NPI | 1992704126 |
|---|---|
| Doing Business As | PROVIDENCE MOTHER JOSEPH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA NH1067) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-03-31 |