# EVERGREEN AT BILLINGS, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen Billings Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104874585
- **Authorized official:** ANDREW V MARTINI (MANAGER)
- **Authorized official phone:** (360) 892-6628

## Contact information

- **Practice address:** 1341 ROSEBUD LN, BILLINGS, MT 59101-6527
- **Practice address phone:** (406) 252-6135
- **Practice address fax:** (406) 259-7098
- **Mailing address:** 4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6729
- **Mailing address phone:** (360) 892-6628
- **Mailing address fax:** (360) 882-5793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 9621 | MT | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 310046 | — | MT |