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Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
PROVIDENCE MOUNT ST VINCENT
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
4831 35TH AVE SW, SEATTLE, WA 98126-2709
(206) 937-3700
(206) 938-8999
Mailing address
4831 35TH AVE SW, SEATTLE, WA 98126-2709
(206) 937-3700
(206) 938-8999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
BH-198
WA
314000000X
Skilled Nursing Facility
Primary
77
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41-07702
—
WA
Enumeration date
12/08/2005
Last updated
05/16/2025
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