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✓ OIG exclusion check passed — not excluded from federal healthcare programs
PH

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Home Health Agency

OIG CLEARNPI VERIFIED
Location
KODIAK, AK
Licensed since
2006
Rate
Federal identifiers
NPI registry number1891899597
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameDONALD ANDERSON
TitleASSISTANT SECRETARY OF ENROLLMENTS
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