| NPI | 1548218050 |
|---|---|
| Doing Business As | EVERGREEN CANYONS HEALTH AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | ANNE M. NIPP Manager 360-892-6628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: UT 2005-NCF-609) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2010-01-05 |