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Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
Providence Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
2811 S 102ND ST, TUKWILA, WA 98168-1870
(425) 525-6800
(425) 525-6825
Mailing address
2811 S 102ND ST, TUKWILA, WA 98168-1870
(425) 525-6800
(425) 525-6825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WA
Other
Enumeration date
08/31/2006
Last updated
05/06/2025
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