Evergreen at Polson, L.l.c.

NPI #1093763419 in Polson, Montana

Provider Information

NPI Number
1093763419
Entity Type
Organization
Organization Name
Evergreen at Polson, L.l.c.
Subpart
Yes (part of a larger organization)
Parent Organization
EMPRES MONTANA HEALTHCARE, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 5, 2006
Last Updated
Mar 11, 2021

Practice Location

Address
9 14TH AVE W
City
Polson
State
Montana
ZIP Code
59860-5321
Phone
(406) 883-4378

Authorized Official

Name
BRENT WEIL
Title
CEO AND MANAGER
Phone
(360) 892-6628

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Clinic/Center - Hearing and SpeechHearing and Speech
Skilled Nursing Facility

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