Evergreen Washington Healthcare Frontier, L.l.c.
NPI #1104811207 in Longview, Washington
Provider Information
- NPI Number
- 1104811207
- Entity Type
- Organization
- Organization Name
- Evergreen Washington Healthcare Frontier, L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EMPRES WASHINGTON HEALTHCARE, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 14, 2005
- Last Updated
- Jan 30, 2017
Practice Location
- Address
- 1500 3RD AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-8632
- Phone
- (360) 423-8800
Authorized Official
- Name
- BRENT WEIL
- Title
- CEO AND MANAGER
- Phone
- (360) 892-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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