Evergreen at Gridley Snf, L.l.c.
NPI #1902854755 in Gridley, California
Provider Information
- NPI Number
- 1902854755
- Entity Type
- Organization
- Organization Name
- Evergreen at Gridley Snf, L.l.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EVERGREEN CALIFORNIA HEALTHCARE, L.L.C.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 4, 2006
- Last Updated
- Jan 4, 2010
Practice Location
- Address
- 246 SPRUCE ST
- City
- Gridley
- State
- California
- ZIP Code
- 95948-2216
- Phone
- (530) 846-6266
Authorized Official
- Name
- MS. ANNE M. NIPP
- Title
- MANAGER
- Phone
- (360) 892-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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