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Providence Health & Services Washington
Community Based Hospice Care Agency in Lacey, Washington
NPI 1962592295

Providence Health & Services Washington is a Community Based Hospice Care Agency based in Seattle, WA. Providence Health & Services Washington practices in Lacey, WA. The NPI Number for Providence Health & Services Washington is 1962592295 and holds a License No. IS-420 (Washington).

The current practice location address for Providence Health & Services Washington is 4200 6Th Ave Se, Lacey, WA and can be reached out via phone at 360-459-8311 and via fax at 360-493-4657.

Location: 4200 6Th Ave Se, Lacey, WA, 98124-0666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962592295
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
4200 6Th Ave Se, Lacey, WA, 98124-0666
Phone Number
360-459-8311
Fax Number
360-493-4657
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3990355 05 WA
institution
Provider Business Practice Location Address Details
Address
4200 6Th Ave Se
City
Lacey
State
Washington
Zip
98503-1042
Phone Number
360-459-8311
Fax Number
360-493-4657
person
Provider Business Mailing Address Details
Address
4200 6Th Ave Se
City
Lacey
State
Washington
Zip
98503-1042
Phone Number
360-459-8311
Fax Number
360-493-4657
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
IS-420 (Washington)
Definition
Definition to come...
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