Evergreen Washington Healthcare Enumclaw, L.l.c.
NPI #1457346785 in Enumclaw, Washington
Provider Information
- NPI Number
- 1457346785
- Entity Type
- Organization
- Organization Name
- Evergreen Washington Healthcare Enumclaw, L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EMPRES WASHINGTON HEALTHCARE, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 13, 2005
- Last Updated
- Feb 2, 2022
Practice Location
- Address
- 2323 JENSEN ST
- City
- Enumclaw
- State
- Washington
- ZIP Code
- 98022-3698
- Phone
- (360) 825-2541
Authorized Official
- Name
- MICHAEL J. MILLER
- Title
- CFO AND ASSISTANT MANAGER
- Phone
- (360) 892-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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