Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
Providence SoundHomeCare and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
4200 6TH AVE SE, SUITE 201, LACEY, WA 98503-1042
(360) 459-8311
(360) 493-4657
Mailing address
PO BOX 24666, SEATTLE, WA 98124-0666
(503) 893-7120
(425) 276-3215
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS-420
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9040452
—
WA
05
—
9040460
—
WA
05
—
9040478
—
WA
05
—
9040486
—
WA
05
—
9048661
—
WA
Enumeration date
05/23/2005
Last updated
05/16/2025
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