Providence Health & Services - Washington

NPI #1891899597 in Kodiak, Alaska

Provider Information

NPI Number
1891899597
Entity Type
Organization
Organization Name
Providence Health & Services - Washington
Primary Specialty
Home Health
Enumeration Date
Sep 12, 2006
Last Updated
May 13, 2025

Practice Location

Address
1915 E REZANOF DR
City
Kodiak
State
Alaska
ZIP Code
99615-6602
Phone
(907) 486-3281

Authorized Official

Name
DONALD WAYNE ANDERSON JR.
Title
ASSISTANT SECRETARY OF ENROLLMENTS
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Home Health

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