NPI 1114975810

Evergreen Mesa Christian, L.L.C.

Organisation Skilled Nursing Facility Mesa, AZ

Practice location

Address: 255 W Brown Rd, Mesa, AZ 85201-3404
Phone: (480) 833-3988
Fax: (480) 833-7122
Mailing address: 4601 NE 77th Ave Suite 300, Vancouver, WA 98662-6729

Authorised official

Name: Andrew V. Martini
Title: Manager
Phone: (360) 892-6628

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NCI-2629 (AZ)

Other Skilled Nursing Facility providers in Arizona →

Registry record

NPI: 1114975810
Entity type: Organization
NPI issued: 4 May 2006
Record last updated: 22 Aug 2020

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.