Whalio Doctors

NPI 1093763419

Evergreen at Polson, L.L.C.

Organisation Skilled Nursing Facility Polson, MT

Practice location

Address
9 14th Ave W, Polson, MT 59860-5321
Phone
(406) 883-4378
Fax
(406) 883-3388
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 (4)

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 10145 (MT)
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Hearing and Speech Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QH0700X Licence 3111 (MT)
Hearing and Speech Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QH0700X Licence 3582 (MT)

Registry record

NPI
1093763419
Entity type
Organization
NPI issued
5 May 2006
Record last updated
11 Mar 2021

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.