NPI | 1114975810 |
---|---|
Doing Business As | EVERGREEN MESA CHRISTIAN HEALTH AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | ANDREW V. MARTINI Manager 360-892-6628 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-2629) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2020-08-22 |