EVERGREEN MANOR NPI 1942618889

NPI Information

NPI: 1942618889
Provider Name: EVERGREEN MANOR
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2601 SUMMIT AVE
EVERETT, WA
ZIP 98201
Phone: (425) 258-2407
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EVERGREEN MANOR is a rehabilitation and substance use disorder clinic center in Everett, WA. EVERGREEN MANOR NPI is 1942618889. The provider is registered as an organization entity type.

The provider's business location address is:

2601 SUMMIT AVE
EVERETT, WA
ZIP 98201-309
Phone: (425) 258-2407
Fax: (425) 339-2601

The provider's authorized official is Linda Grant .
The authorized official title is Ceo and has the following contact phone number (425) 258-2407.

The enumeration date for this NPI number is 7/23/2014 and was last updated on 7/23/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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