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Evergreen Washington Healthcare Manor, L.l.c.
Skilled Nursing Facility in Longview, Washington
NPI 1619925328

Evergreen Washington Healthcare Manor, L.l.c. is a Skilled Nursing Facility based in Vancouver, WA. Evergreen Washington Healthcare Manor, L.l.c. practices in Longview, WA. The NPI Number for Evergreen Washington Healthcare Manor, L.l.c. is 1619925328 and holds a License No. 1226 (Washington).

The current practice location address for Evergreen Washington Healthcare Manor, L.l.c. is 1330 11Th Ave, Longview, WA and can be reached out via phone at 360-425-6706 and via fax at 360-423-3002.

Location: 1330 11Th Ave, Longview, WA, 98662-6729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619925328
Provider Name
Evergreen Washington Healthcare Manor, L.l.c.
Credential
Provider Entity Type
Organization
Address
1330 11Th Ave, Longview, WA, 98662-6729
Phone Number
360-425-6706
Fax Number
360-423-3002
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4112264 05 WA
institution
Provider Business Practice Location Address Details
Address
1330 11Th Ave
City
Longview
State
Washington
Zip
98632-3817
Phone Number
360-425-6706
Fax Number
360-423-3002
person
Provider Business Mailing Address Details
Address
1330 11Th Ave
City
Longview
State
Washington
Zip
98632-3817
Phone Number
360-425-6706
Fax Number
360-423-3002
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
1226 (Washington)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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