Organization
PROVIDENCE HEALTH & SERVICES - WA
Active
Other names
PROVIDENCE ADULT DAY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
6018 N ASTOR ST, SPOKANE, WA 99208-1107
(509) 482-2475
(509) 482-2490
Mailing address
6018 N ASTOR ST, SPOKANE, WA 99208-1107
(509) 482-2475
(509) 482-2490
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027809
—
WA
05
—
425223
—
WA
Enumeration date
10/15/2008
Last updated
05/16/2025
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