Organization · Type 2 NPI

Evergreen at Lakeport, L.l.c.

Skilled Nursing Facility · Lakeport, CA

NPI number 1699723460 Active

Practice location

1291 Craig Ave
Lakeport, CA 95453-5704

Fax (707) 263-7213

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X010000142 (CA)

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 1699723460

Evergreen at Lakeport, L.l.c.'s National Provider Identifier is 1699723460, issued on May 4, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Lakeport, CA. The record was last updated on Jan 30, 2017.