# PROVIDENCE HEALTH & SERVICES WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence Mother Joseph Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992704126
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASST SECRETARY FOR ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 3333 ENSIGN RD NE, OLYMPIA, WA 98506-5012
- **Practice address phone:** (360) 493-4900
- **Practice address fax:** (360) 493-4000
- **Mailing address:** 3333 ENSIGN RD NE, OLYMPIA, WA 98506-5012
- **Mailing address phone:** (360) 493-4900
- **Mailing address fax:** (360) 493-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH1067 | WA | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 05/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4110672 | — | WA |