NPI 1336686914
Evergreen Kitsap, L.L.C.
Practice location
- Address
- 2321 NW Schold Pl, Silverdale, WA 98383-9504
- Phone
- (360) 698-8930
- Mailing address
- 4601 NE 77th Ave STE 300, Vancouver, WA 98662-6736
Authorised official
- Name
- Brent Weil
- Title
- Ceo and Manager
- Phone
- (360) 604-4217
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1336686914
- Entity type
- Organization
- NPI issued
- 20 Jan 2017
- Record last updated
- 20 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.