Providence Health & Services
Home Health Aide in Everett, WA. Organization (NPI-2).
NPI number1831639731
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1831639731
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Health & Services
- Organization subpart
- No
- Enumeration date
- Feb 27, 2017
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Other names
- Pmg Nw Wa Health Home (Doing Business As)
Practice location
12800 Bothell Everett HwySuite 290
Everett, WA 98208-6642
Phone 425-261-3330
Mailing address
12800 Bothell Everett HwySuite 290
Everett, WA 98208-6642
Phone 425-261-3330
Authorized official
Donald Wayne Anderson
Assistant Secretary Of Enrollments
4253589786
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All 11 Home Health Aide providers in Everett · All 8,245 providers in Everett
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