Organization · Type 2 NPI

Evergreen Quality Home

Adult Care Home Facility · Vancouver, WA

NPI number 1922391408 Active

Practice location

304 NW 102nd St
Vancouver, WA 98685-5233

Call (360) 885-7933 Map

Fax (360) 573-7131

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X654400 (WA)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1922391408

Evergreen Quality Home's National Provider Identifier is 1922391408, issued on May 17, 2011. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Vancouver, WA. The record was last updated on May 17, 2011.