Evergreen at Missoula, L.l.c.

NPI #1447703533 in Missoula, Montana

Provider Information

NPI Number
1447703533
Entity Type
Organization
Organization Name
Evergreen at Missoula, L.l.c.
Subpart
Yes (part of a larger organization)
Parent Organization
EMPRES MONTANA HEALTHCARE, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 26, 2016
Last Updated
Feb 1, 2017

Practice Location

Address
3018 RATTLESNAKE DR
State
Montana
ZIP Code
59802-6101
Phone
(406) 549-0988

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility
Assisted Living Facility
Occupational Therapist

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