# EVERGREEN AT ELY, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White Pine Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750339131
- **Authorized official:** JAMES ROBERT PREIMESBERGER (MANAGER)
- **Authorized official phone:** (213) 220-4808

## Contact information

- **Practice address:** 1500 AVENUE G, ELY, NV 89301-2539
- **Practice address phone:** (775) 289-8801
- **Practice address fax:** (775) 289-3208
- **Mailing address:** 1500 AVENUE G, ELY, NV 89301-2539
- **Mailing address phone:** (775) 289-8801
- **Mailing address fax:** (775) 289-3208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1218SNF-20 | NV | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 06/03/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1917920 | — | NV |