Evergreen at Ely, L.l.c.

NPI #1093339947 in Ely, Nevada

Provider Information

NPI Number
1093339947
Entity Type
Organization
Organization Name
Evergreen at Ely, L.l.c.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 5, 2020
Last Updated
Jun 5, 2020

Practice Location

Address
1500 AVENUE G
City
Ely
State
Nevada
ZIP Code
89301-2539
Phone
(775) 289-8801

Authorized Official

Name
JAMES ROBERT PREIMESBERGER
Title
MANAGER
Phone
(213) 220-4808

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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