EVERGREEN IDAHO HEALTHCARE SANDPOINT L.L.C. NPI 1891003554

NPI Information

EVERGREEN IDAHO HEALTHCARE SANDPOINT, L.L.C. is an assisted living facility in Sandpoint, ID. 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 IDAHO HEALTHCARE SANDPOINT, L.L.C. NPI is 1891003554. The provider is registered as an organization entity type.
The provider Is Doing Business As Sandoint Assisted Living Facility.

The provider's business location address is:

624 S DIVISION AVE
SANDPOINT, ID
ZIP 83864-749
Phone: (208) 265-2354
Fax: (208) 263-8787

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

The enumeration date for this NPI number is 9/15/2010 and was last updated on 6/2/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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