NPI 1013965722

Evergreen at Talbot Road, L.L.C.

Organisation Skilled Nursing Facility Renton, WA

Practice location

Address: 4430 Talbot Rd S, Renton, WA 98055-6218
Phone: (425) 226-7500
Fax: (425) 226-4195
Mailing address: 4601 NE 77th Ave Suite 300, Vancouver, WA 98662-6736

Authorised official

Name: Brent Weil
Title: Ceo and Manager
Phone: (360) 892-6628

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1311 (WA)

Other Skilled Nursing Facility providers in Washington →

Registry record

NPI: 1013965722
Entity type: Organization
NPI issued: 5 May 2006
Record last updated: 30 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.