Organization · Type 2 NPI

Evergreen at Park Royal Ii, L.l.c.

Skilled Nursing Facility · Longview, WA

NPI number 1093700353 Active

Practice location

910 16th Ave
Longview, WA 98632-2302

Call (360) 423-2890 Map

Fax (360) 577-9012

Mailing address

4601 NE 77th Ave, Suite 300
Vancouver, WA 98662-6736

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNH1336 (WA)

Skilled Nursing Facility: (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1093700353

Evergreen at Park Royal Ii, L.l.c.'s National Provider Identifier is 1093700353, issued on Sep 13, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Longview, WA. The record was last updated on Jan 30, 2017.