| NPI | 1841248242 |
|---|---|
| Doing Business As | EVERGREEN CLANCY 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: MT 9261) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |