NPI 1538117940

Evergreen at Missoula, L.L.C.

Organisation Skilled Nursing 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 98662-6736

Authorised official

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

Registered specialties (4)

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Montana →

Occupational Therapist

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

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 7280 (MT)

Registry record

NPI: 1538117940
Entity type: Organization
NPI issued: 5 May 2006
Record last updated: 20 Jan 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.