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Evergreen Manor
Substance Abuse Rehabilitation Facility in Seattle, Washington
NPI 1437587284

Evergreen Manor is a Substance Abuse Rehabilitation Facility based in Everett, WA. Evergreen Manor practices in Seattle, WA. The NPI Number for Evergreen Manor is 1437587284 and holds a License No. (Washington).

The current practice location address for Evergreen Manor is 600 N 130Th St, Seattle, WA and can be reached out via phone at 206-223-1300. You can also correspond with Evergreen Manor through the mailing address at PO BOX 12598, EVERETT, WA - 98206-2598 (mailing address contact number: 425-258-2407).

Location: 600 N 130Th St, Seattle, WA, 98206-2598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437587284
Provider Name
Evergreen Manor
Credential
Provider Entity Type
Organization
Address
600 N 130Th St, Seattle, WA, 98206-2598
Phone Number
206-223-1300
Fax Number
Provider Enumeration Date
10/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
600 N 130Th St
City
Seattle
State
Washington
Zip
98133-7946
Phone Number
206-223-1300
Fax Number
person
Provider Business Mailing Address Details
Address
600 N 130Th St
City
Seattle
State
Washington
Zip
98133-7946
Phone Number
206-223-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medically Fragile Infants and Children Day Care
Taxonomy
261QM3000X
License No.
()
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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