| Organization Name: | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| NPI Number: | 1952386369 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT HELLRIGEL (CEO) |
| Mailing Address: | 4831 35th Ave Sw Seattle |
| State: | WA US |
| Postal Code: | 981262709 |
| Phone Number: | 2069373700 |
| Fax Number: | 2069388999 |
| NPI Enumeration Date: | 12/08/2005 |
| NPI Last Update Date: | 01/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | BH-198 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |