Organization
PROVIDENCE HEALTH & SERVICES - WA
Active
Other names
PROVIDENCE EMILIE CT ASSISTED LIVG
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE CRANE (VICE PRESIDENT)
(509) 474-2153
Entity
Organization
Contact information
Practice address
34 E 8TH AVE, SPOKANE, WA 99202-7210
(509) 474-2550
(509) 474-2618
Mailing address
34 E 8TH AVE, SPOKANE, WA 99202-7210
(509) 474-2550
(509) 474-2618
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512537
—
WA
Enumeration date
10/15/2008
Last updated
10/15/2008
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