Organization
EVERGREEN KITSAP, L.L.C.
Active
Parent organization
EMPRES WASHINGTON HEALTHCARE, LLC
Other names
Northwoods Lodge
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES WASHINGTON HEALTHCARE, LLC
Authorized official
BRENT WEIL (CEO AND MANAGER)
(360) 604-4217
Entity
Organization
Contact information
Practice address
2321 NW SCHOLD PL, SILVERDALE, WA 98383-9504
(360) 698-8930
Mailing address
4601 NE 77TH AVE STE 300, VANCOUVER, WA 98662-6736
(360) 604-4217
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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