Organization
EVERGREEN AT BUTTE, L.L.C.
Active
Parent organization
EVERGREEN MONTANA HEALTHCARE, L.L.C.
Other names
Evergreen Butte Health and REhabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN MONTANA HEALTHCARE, L.L.C.
Authorized official
ANDREW V MARTINI (MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
3251 NETTIE ST, BUTTE, MT 59701-6531
(406) 723-3225
(406) 723-6470
Mailing address
4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6729
(360) 892-6628
(360) 882-5793
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9622
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310080
—
MT
Enumeration date
05/05/2006
Last updated
08/30/2007
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