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PROVIDENCE SENIOR HOME LLC

Health Maintenance Organization

NPI: 1134520463Organization

Specialties, Licenses & Credentials

Health Maintenance Organization

Code: 302R00000X

A752165(WA)

Contact & Hours

Address
3623 W INDIAN TRAIL RD
SPOKANE, WA 99208

Quick Facts

NPI
1134520463
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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