Organization
EVERGREEN AT GARDNERVILLE, L.L.C.
Active
Parent organization
EMPRES NEVADA HEALTHCARE, LLC
Other names
Gardnerville Health & Rehab Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES NEVADA HEALTHCARE, LLC
Authorized official
MICHAEL J. MILLER (CFO AND ASSISTANT MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
1573 MULLER PKWY, GARDNERVILLE, NV 89410-7918
(775) 782-6620
(775) 782-6945
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
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
Primary
3995SNF-5
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503498
—
NV
Enumeration date
05/05/2006
Last updated
02/01/2022
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