NPI 1447703533

Evergreen at Missoula, L.L.C.

Organisation Assisted Living Facility Missoula, MT

Practice location

Address: 3018 Rattlesnake Dr, Missoula, MT 59802-6101
Phone: (406) 549-0988
Fax: (406) 549-0111
Mailing address: 4601 NE 77th Ave Suite 300, Vancouver, WA 98662-6729

Authorised official

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

Registered specialties (4)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Montana →

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

Other Occupational Therapist providers in Montana →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 13184 (MT)

Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Montana →

Registry record

NPI: 1447703533
Entity type: Organization
NPI issued: 26 Jul 2016
Record last updated: 1 Feb 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.