Organization · Type 2 NPI

Evergreen Mesa Christian, L.l.c.

Skilled Nursing Facility · Mesa, AZ

NPI number 1114975810 Active

Practice location

255 W Brown Rd
Mesa, AZ 85201-3404

Call (480) 833-3988 Map

Fax (480) 833-7122

Mailing address

4601 NE 77th Ave, Suite 300
Vancouver, WA 98662-6729

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNCI-2629 (AZ)

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 1114975810

Evergreen Mesa Christian, L.l.c.'s National Provider Identifier is 1114975810, issued on May 4, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Mesa, AZ. The record was last updated on Aug 22, 2020.