Providence Health & Services - Washington
NPI #1407945322 in Centralia, Washington
Provider Information
- NPI Number
- 1407945322
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Washington
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Oct 11, 2006
- Last Updated
- May 5, 2025
Practice Location
- Address
- 914 S SCHEUBER RD
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-9027
- Phone
- (360) 736-2803
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECREATRY FOR ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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