Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
Providence ElderPlace
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN GARCIA MPH (EXECUTIVE DIRECTOR)
(206) 320-5325
Entity
Organization
Contact information
Practice address
4515 MARTIN LUTHER KING JR WAY S, SUITE 100, SEATTLE, WA 98108-2182
(206) 320-5325
(206) 760-6339
Mailing address
2001 LIND AVE SW, SUITE 160, RENTON, WA 98057-3303
(206) 320-5325
(206) 760-6339
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/27/2005
Last updated
09/29/2008
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