Evergreen at Fullerton, L.l.c.
NPI #1104874239 in Fullerton, California
Provider Information
- NPI Number
- 1104874239
- Entity Type
- Organization
- Organization Name
- Evergreen at Fullerton, L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EMPRES CALIFORNIA HEALTHCARE, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 4, 2006
- Last Updated
- Jan 2, 2014
Practice Location
- Address
- 2222 N HARBOR BLVD
- City
- Fullerton
- State
- California
- ZIP Code
- 92835-2605
- Phone
- (714) 992-5701
Authorized Official
- Name
- MR. DALE L. PATTERSON
- Title
- MANAGER
- Phone
- (360) 892-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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