- Agency Name
- PROVIDENCE HEALTH & SERVICES - WASHINGTON
- Service Type
- Hospice Care, Community Based
- Address
- 1615 75TH ST SW STE 210, EVERETT, WA 98203
- Phone Number
- (425) 261-4800
- NPI Number
- 1083947709
- Authorized Official
- DONALD ANDERSON (ASSISTANT SECRETARY ENROLLMENT)
- Enumeration Date
- 2009-09-14