Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
Providence SoundHomecare and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3432 BAY RD NE, OLYMPIA, WA 98506-2958
(360) 459-8311
(360) 493-4657
Mailing address
PO BOX 5008, LACEY, WA 98509-5008
(360) 459-8311
(360) 493-4657
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7402688
—
WA
Enumeration date
10/13/2006
Last updated
05/16/2025
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