| NPI | 1619925328 |
|---|---|
| Doing Business As | EVERGREEN MANOR HEALTH AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | DALE L. PATTERSON Manager 360-892-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1226) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-07-07 |