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Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
Providence Mother Joseph Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASST SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3333 ENSIGN RD NE, OLYMPIA, WA 98506-5012
(360) 493-4900
(360) 493-4000
Mailing address
3333 ENSIGN RD NE, OLYMPIA, WA 98506-5012
(360) 493-4900
(360) 493-4000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1067
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4110672
—
WA
Enumeration date
07/19/2005
Last updated
05/16/2025
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