Evergreen Manor Opt Everett in Everett - Rehabilitation, Substance Use Disorder
Evergreen Manor Opt Everett - NPI 1124159157
Evergreen Manor Opt Everett is a Rehabilitation, Substance Use Disorder in Everett, Washington. Evergreen Manor Opt Everett practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Evergreen Manor Opt Everett is 1124159157. The last update date is 2007-10-30.
Evergreen Manor Opt Everett's current location address is 2932 Hoyt Ave, Everett, Washington. You can contact this provider via phone number 4252595842 and fax number 4253392601. The mailing address for Evergreen Manor Opt Everett is 2932 Hoyt Ave, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Manor Opt Everett |
|---|---|
| Address | 2932 Hoyt Ave, Everett, Washington |
| Phone Number | 4252595842 |
| Fax Number | 4253392601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Grant K Linda |
| Credentials | MS CDP |
| Telephone Number | 4252582407 |
NPI Number Detail
| NPI Number | 1124159157 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 2932 Hoyt Ave |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 982014003 |
| Phone Number | 4252595842 |
| Fax Number | 4253392601 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 31 1095 00 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1990746 | WA | -- |
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What is the unique provider identifier assigned to Evergreen Manor Opt Everett?
The Evergreen Manor Opt Everett has been issued the NPI (National Provider Identifier) 1124159157 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Evergreen Manor Opt Everett located?
The Evergreen Manor Opt Everett is located at 2932 Hoyt Ave, Everett, WA 982014003.
What is Evergreen Manor Opt Everett's area of expertise and its corresponding taxonomy classification?
The Evergreen Manor Opt Everett's field of specialization is Rehabilitation, Substance Use Disorder, and it falls under the taxonomy code 261Qr0405X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1124159157 to Evergreen Manor Opt Everett?
The Centers for Medicare & Medicaid Services assigned the 1124159157 to Evergreen Manor Opt Everett on 2007-03-09.
As of what date was the information regarding Evergreen Manor Opt Everett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Evergreen Manor Opt Everett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-30.
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