| NPI | 1144304163 |
|---|---|
| Other Name | EVERGREENE NURSING CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | GARY LEE VAN NOSTRAND Administrator 434-985-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2551) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |