NPI 1023066966

Evergreen at Springs Road, L.L.C.

Organisation Skilled Nursing Facility Vallejo, CA

Practice location

Address: 1527 Springs Rd, Vallejo, CA 94591-5448
Phone: (707) 643-2793
Fax: (707) 554-2876
Mailing address: 4601 NE 77th Ave Suite 300, Vancouver, WA 98662-6736

Authorised official

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

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 110000003 (CA)

Other Skilled Nursing Facility providers in California →

Registry record

NPI: 1023066966
Entity type: Organization
NPI issued: 4 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.