NPI 1538122031

Evergreen Terrace LLC

Organisation Nursing Facility/Intermediate Care Facility Lakewood, CO

Practice location

Address: 1625 Simms St, Lakewood, CO 80215-2611
Phone: (303) 238-8161
Fax: (303) 238-2714

Authorised official

Name: Michelle Zimbelman
Title: President
Phone: (816) 232-9573

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 0573 (CO)

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Registry record

NPI: 1538122031
Entity type: Organization
NPI issued: 7 Apr 2006
Record last updated: 22 Aug 2020

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.