Evergreen at Holladay, L.l.c.
NPI #1548218050 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1548218050
- Entity Type
- Organization
- Organization Name
- Evergreen at Holladay, L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EVERGREEN UTAH HEALTHCARE, L.L.C.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 5, 2006
- Last Updated
- Jan 5, 2010
Practice Location
- Address
- 4600 SOUTH HIGHLAND DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84117-5108
- Phone
- (801) 272-1892
Authorized Official
- Name
- MS. ANNE M. NIPP
- Title
- MANAGER
- Phone
- (360) 892-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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