# PROVIDENCE HEALTH & SERVICES - WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROV HOSPICE & H C OF SNOHOMISH CTY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174856892
- **Authorized official:** MR. DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 1615 75TH ST SW STE 210, EVERETT, WA 98203-6293
- **Practice address phone:** (425) 261-4800
- **Practice address fax:** (425) 261-4868
- **Mailing address:** 1615 75TH ST SW STE 210, EVERETT, WA 98203-6293
- **Mailing address phone:** (425) 261-4800
- **Mailing address fax:** (425) 261-4868

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 05/16/2025