Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1275869117 |
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| LBN Legal business name | PROVIDENCE HEALTH & SERVICES WASHINGTON | ||||||||
| Authorized official | DONALD ANDERSON - (DIR REIMB REG STRAT/ASST SEC ENROLL) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/28/2009 | ||||||||
| Last updated | 04/19/2022 - About 4 years ago | ||||||||
| Identifiers |
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