Providence Senior Home LLC
Providence Senior Home LLC is a Health Maintenance Organization in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2014.
- Licensed in
- WA
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3623 W Indian Trail RdSpokane, WA 99208
Phone: (509) 710-2776
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence A752165 (WA) |
|---|
Record details
| NPI number | 1134520463 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sandu Codreanu — Owner/Provider · (509) 638-8738 |
| NPI enumerated | September 5, 2014 |
| Last updated in NPPES | September 5, 2014 |
| Mailing address | 3623 W Indian Trail Rd, Spokane, WA 99208-4733 |
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