Evergreen Kitsap, L.l.c.
NPI #1770578791 in Bremerton, Washington
Provider Information
- NPI Number
- 1770578791
- Entity Type
- Organization
- Organization Name
- Evergreen Kitsap, L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EVERGREEN WASHINGTON HEALTHCARE, L.L.C.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 15, 2005
- Last Updated
- Jun 3, 2011
Practice Location
- Address
- 3517 11TH ST
- City
- Bremerton
- State
- Washington
- ZIP Code
- 98312-2633
- Phone
- (360) 377-5537
Authorized Official
- Name
- MR. DALE L. PATTERSON
- Title
- MANAGER
- Phone
- (360) 892-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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