Evergreen At Missoula, L.L.C. in Missoula - Skilled Nursing Facility
Evergreen At Missoula, L.L.C. - NPI 1538117940
Evergreen At Missoula, L.L.C. is a Skilled Nursing Facility in Missoula, Montana. Evergreen At Missoula, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Missoula, L.L.C. is 1538117940. The last update date is 2022-01-20.
Evergreen At Missoula, L.L.C.'s current location address is 3018 Rattlesnake Dr, Missoula, Montana. You can contact this provider via phone number 4065490988 and fax number 4065490111. The mailing address for Evergreen At Missoula, L.L.C. is 3018 Rattlesnake Dr, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen At Missoula, L.L.C. |
|---|---|
| Address | 3018 Rattlesnake Dr, Missoula, Montana |
| Phone Number | 4065490988 |
| Fax Number | 4065490111 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO AND AS |
|---|---|
| Authorized Official Name | Miller J. Michael |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1538117940 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2022-01-20 |
Provider Mailing Address Detail
| Address | 3018 Rattlesnake Dr |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598026101 |
| Phone Number | 4065490988 |
| Fax Number | 4065490111 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 7280 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 310029 | MT | -- |
Post Comment/ Review Below
What is the Evergreen At Missoula, L.L.C.'s 1538117940?
The Evergreen At Missoula, L.L.C.'s NPI (National Provider Identifier) Number is 1538117940. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Evergreen At Missoula, L.L.C. is geographically located?
The Evergreen At Missoula, L.L.C. is physically situated at the following location: 3018 Rattlesnake Dr, Missoula, MT, 598026101.
What is Evergreen At Missoula, L.L.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Evergreen At Missoula, L.L.C. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
When was the Evergreen At Missoula, L.L.C.'s 1538117940 issued?
The Evergreen At Missoula, L.L.C.'s 1538117940 was issued on 2006-05-05.
As of what date were the Evergreen At Missoula, L.L.C.'s details last updated?
The information pertaining to the Evergreen At Missoula, L.L.C., including its address, specialty, and other details, was most recently updated on 2022-01-20.