# PROVIDENCE HEALTH & SERVICES WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence SoundHomeCare and Hospice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063415198
- **Authorized official:** DONALD ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 4200 6TH AVE SE, SUITE 201, LACEY, WA 98503-1042
- **Practice address phone:** (360) 459-8311
- **Practice address fax:** (360) 493-4657
- **Mailing address:** PO BOX 24666, SEATTLE, WA 98124-0666
- **Mailing address phone:** (503) 893-7120
- **Mailing address fax:** (425) 276-3215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | IS-420 | WA | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 05/16/2025