Organization · Type 2 NPI

Evergreen at Missoula, L.l.c.

Assisted Living Facility · Missoula, MT

NPI number 1447703533 Active

Practice location

3018 Rattlesnake Dr
Missoula, MT 59802-6101

Fax (406) 549-0111

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XNone listed
Assisted Living Facility 310400000X13184 (MT)
Assisted Living Facility Primary 310400000XNone listed
Skilled Nursing Facility 314000000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

14 other providers at this address

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About NPI 1447703533

Evergreen at Missoula, L.l.c.'s National Provider Identifier is 1447703533, issued on Jul 26, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Missoula, MT. The record was last updated on Feb 1, 2017.