Organization
EVERGREEN AT MISSOULA, L.L.C.
Active
Parent organization
EMPRES MONTANA HEALTHCARE, LLC
Other names
Missoula Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES MONTANA HEALTHCARE, LLC
Authorized official
BRENT WEIL (MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
3018 RATTLESNAKE DR, MISSOULA, MT 59802-6101
(406) 549-0988
(406) 549-0111
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
225X00000X
Occupational Therapist
—
MT
310400000X
Assisted Living Facility
13184
MT
310400000X
Assisted Living Facility
Primary
—
MT
314000000X
Skilled Nursing Facility
—
MT
Other
Enumeration date
07/26/2016
Last updated
02/01/2017
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