Organization · NPI-2
Evergreen At Tacoma, L.L.C.
Skilled Nursing Facility · Tacoma, WA
NPI number1659326338
StatusActive
Last updated in NPPESJan 30, 2017
Details
- NPI
- 1659326338
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen At Tacoma, L.L.C.
- Organization subpart
- Yes
- Enumeration date
- May 23, 2006
- Last updated
- Jan 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Pending | WA | Yes |
Other names
- Alaska Gardens Health And Rehabilitation Center (Doing Business As)
Practice location
6220 S Alaska StTacoma, WA 98408-1317
Phone 253-476-5300 · Fax 253-476-5365
Mailing address
4601 Ne 77th AveSuite 300
Vancouver, WA 98662-6736
Phone 360-892-6628 · Fax 360-882-5793
Authorized official
Brent Weil
Ceo And Manager
3608926628
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