Evergreen Washington Healthcare Centralia, L.l.c.
NPI #1942295993 in Centralia, Washington
Provider Information
- NPI Number
- 1942295993
- Entity Type
- Organization
- Organization Name
- Evergreen Washington Healthcare Centralia, L.l.c.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 15, 2005
- Last Updated
- Jul 3, 2008
Practice Location
- Address
- 1015 LONG RD
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-1038
- Phone
- (360) 736-3381
Authorized Official
- Name
- DALE L. PATTERSON
- Title
- MANAGER
- Phone
- (360) 892-6628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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