Evergreen Washington Healthcare Manor, L.L.C. in Vancouver - Skilled Nursing Facility
Evergreen Washington Healthcare Manor, L.L.C. - NPI 1619925328
Evergreen Washington Healthcare Manor, L.L.C. is a Skilled Nursing Facility in Vancouver, Washington. Evergreen Washington Healthcare Manor, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Washington Healthcare Manor, L.L.C. is 1619925328. The last update date is 2008-07-07.
Evergreen Washington Healthcare Manor, L.L.C.'s current location address is 4601 Ne 77th Ave, Vancouver, Washington. You can contact this provider via phone number 3608926628 and fax number 3608825793. The mailing address for Evergreen Washington Healthcare Manor, L.L.C. is 4601 Ne 77th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Washington Healthcare Manor, L.L.C. |
|---|---|
| Address | 4601 Ne 77th Ave, Vancouver, Washington |
| Phone Number | 3608926628 |
| Fax Number | 3608825793 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Patterson L. Dale |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1619925328 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2008-07-07 |
Provider Mailing Address Detail
| Address | 4601 Ne 77th Ave |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986626729 |
| Phone Number | 3608926628 |
| Fax Number | 3608825793 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1226 |
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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 |
|---|---|---|---|
| 4112264 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen Washington Healthcare Manor, L.L.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Evergreen Washington Healthcare Manor, L.L.C. has been assigned the NPI (National Provider Identifier) 1619925328. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Evergreen Washington Healthcare Manor, L.L.C. is located?
The Evergreen Washington Healthcare Manor, L.L.C. is situated at the following address: 4601 Ne 77Th Ave, Vancouver, WA, 986626729.
What is Evergreen Washington Healthcare Manor, L.L.C.'s area of expertise and its corresponding taxonomy classification?
The Evergreen Washington Healthcare Manor, L.L.C.'s field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1619925328 to Evergreen Washington Healthcare Manor, L.L.C.?
The Centers for Medicare & Medicaid Services assigned the 1619925328 to Evergreen Washington Healthcare Manor, L.L.C. on 2006-05-05.
When was the information related to Evergreen Washington Healthcare Manor, L.L.C. most recently updated or refreshed?
The details pertaining to the Evergreen Washington Healthcare Manor, L.L.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-07.