| NPI | 1245237965 |
|---|---|
| Doing Business As | EVERGREEN NURSING & REHABILITATION CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BENEDICT V. CIPPONERI Chief Executive Officer 209-577-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 100000038) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-05-21 |