Evergreen Terrace LLC

NPI #1538122031 in Lakewood, Colorado

Provider Information

NPI Number
1538122031
Entity Type
Organization
Organization Name
Evergreen Terrace LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Apr 7, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1625 SIMMS ST
ZIP Code
80215-2611
Phone
(303) 238-8161

Authorized Official

Name
MICHELLE ZIMBELMAN
Title
PRESIDENT
Phone
(816) 232-9573

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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