Evergreen Washington Healthcare Manor, L.l.c.
NPI #1619925328 in Longview, Washington
Provider Information
- NPI Number
- 1619925328
- Entity Type
- Organization
- Organization Name
- Evergreen Washington Healthcare Manor, L.l.c.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 5, 2006
- Last Updated
- Jul 7, 2008
Practice Location
- Address
- 1330 11TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3817
- Phone
- (360) 425-6706
Authorized Official
- Name
- MR. DALE L. PATTERSON
- Title
- MANAGER
- Phone
- (360) 892-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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