Organization · Type 2 NPI

Evergreen Washington Healthcare Frontier, L.l.c.

Skilled Nursing Facility · Longview, WA

NPI number 1104811207 Active

Practice location

1500 3rd Ave
Longview, WA 98632-8632

Call (360) 423-8800 Map

Fax (360) 636-3421

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X1225 (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 1104811207

Evergreen Washington Healthcare Frontier, L.l.c.'s National Provider Identifier is 1104811207, issued on Sep 14, 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.