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Evergreen Quality Home
Adult Care Home Facility in Vancouver, Washington
NPI 1922391408

Evergreen Quality Home is an Adult Care Home Facility based in Vancouver, WA and is specialized in Adult Care Home. Evergreen Quality Home practices in Vancouver, WA. The NPI Number for Evergreen Quality Home is 1922391408 and holds a License No. 654400 (Washington).

The current practice location address for Evergreen Quality Home is 304 Nw 102Nd St, Vancouver, WA and can be reached out via phone at 360-885-7933 and via fax at 360-573-7131.

Location: 304 Nw 102Nd St, Vancouver, WA, 98685-5233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922391408
Provider Name
Evergreen Quality Home
Credential
Provider Entity Type
Organization
Address
304 Nw 102Nd St, Vancouver, WA, 98685-5233
Phone Number
360-885-7933
Fax Number
360-573-7131
Provider Enumeration Date
05/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
304 Nw 102Nd St
City
Vancouver
State
Washington
Zip
98685-5233
Phone Number
360-885-7933
Fax Number
360-573-7131
person
Provider Business Mailing Address Details
Address
304 Nw 102Nd St
City
Vancouver
State
Washington
Zip
98685-5233
Phone Number
360-885-7933
Fax Number
360-573-7131
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
654400 (Washington)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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