Organization
EVERGREEN AT SPRINGS ROAD, L.L.C.
Active
Parent organization
EMPRES CALIFORNIA HEALTHCARE, LLC
Other names
Springs Road Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES CALIFORNIA HEALTHCARE, LLC
Authorized official
BRENT WEIL (MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
1527 SPRINGS RD, VALLEJO, CA 94591-5448
(707) 643-2793
(707) 554-2876
Mailing address
4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6736
(360) 892-6628
(360) 882-5793
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110000003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05222J
—
CA
Enumeration date
05/04/2006
Last updated
01/30/2017
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