NPI 1497703896

Evergreen at Livingston, L.L.C.

Organisation Skilled Nursing Facility Livingston, MT

Practice location

Address: 510 S 14th St, Livingston, MT 59047-3731
Phone: (406) 222-0672
Fax: (406) 222-1406
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 10232 (MT)

Other Skilled Nursing Facility providers in Montana →

Hearing and Speech Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QH0700X Licence 3188 (MT)

Other Clinic/Center providers in Montana →

Physical Therapy Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence 1858 (MT)

Occupational Medicine Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QX0100X Licence 316 (MT)

Registry record

NPI: 1497703896
Entity type: Organization
NPI issued: 5 May 2006
Record last updated: 14 Jun 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.