NPI 1427006220

Evergreen at Shelton, L.L.C.

Organisation Skilled Nursing Facility Shelton, WA

Practice location

Address: 153 Johns CT, Shelton, WA 98584-8225
Phone: (360) 427-2575
Fax: (360) 427-2563
Mailing address: 4601 NE 77th Ave Suite 300, Vancouver, WA 98662-6736

Authorised official

Name: Michael J. Miller
Title: Ceo and Manager
Phone: (360) 892-6628

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1324 (WA)

Other Skilled Nursing Facility providers in Washington →

Registry record

NPI: 1427006220
Entity type: Organization
NPI issued: 4 May 2006
Record last updated: 3 Feb 2022

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.