NPI 1891003554

Evergreen Idaho Healthcare Sandpoint, L.L.C.

Organisation Assisted Living Facility Sandpoint, ID

Practice location

Address: 624 S Division Ave, Sandpoint, ID 83864-1749
Phone: (208) 265-2354
Fax: (208) 263-8787
Mailing address: 4601 NE 77th Ave Suite 300, Vancouver, WA 98662-6729

Authorised official

Name: Dale L Patterson
Title: Manager
Phone: (360) 892-6628

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence RC-511 (ID)

Other Assisted Living Facility providers in Idaho →

Registry record

NPI: 1891003554
Entity type: Organization
NPI issued: 15 Sep 2010
Record last updated: 2 Jun 2011

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.