# PROVIDENCE HEALTH & SERVICES WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence Home Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063524346
- **Authorized official:** MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 2811 S 102ND ST, TUKWILA, WA 98168-1870
- **Practice address phone:** (425) 525-6800
- **Practice address fax:** (425) 525-6825
- **Mailing address:** 2811 S 102ND ST, TUKWILA, WA 98168-1870
- **Mailing address phone:** (425) 525-6800
- **Mailing address fax:** (425) 525-6825

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 05/06/2025