NPI | 1013965318 |
---|---|
Doing Business As | EVERGREEN BUTTE HEALTH AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | ANDREW V MARTINI Manager 360-892-6628 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MT 9622) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2007-08-30 |