Organization · Type 2 NPI

Evergreen Washington Healthcare Manor, L.l.c.

Skilled Nursing Facility · Longview, WA

NPI number 1619925328 Active

Practice location

1330 11th Ave
Longview, WA 98632-3817

Call (360) 425-6706 Map

Fax (360) 423-3002

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X1226 (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 1619925328

Evergreen Washington Healthcare Manor, L.l.c.'s National Provider Identifier is 1619925328, issued on May 5, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Longview, WA. The record was last updated on Jul 7, 2008.