EVERGREEN AT MISSOULA L.L.C. NPI 1447703533

NPI Information

EVERGREEN AT MISSOULA, L.L.C. is an assisted living facility in Missoula, MT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EVERGREEN AT MISSOULA, L.L.C. NPI is 1447703533. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Missoula Health And Rehabilitation Center.

The provider's business location address is:

3018 RATTLESNAKE DR
MISSOULA, MT
ZIP 59802-101
Phone: (406) 549-0988
Fax: (406) 549-0111

The provider's authorized official is Brent Weil .
The authorized official title is Manager and has the following contact phone number (360) 892-6628.

The CLIA number assigned to this NPI record is 27D0410969 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2016 and was last updated on 2/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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