Organization
EVERGREEN AT LIVINGSTON, L.L.C.
Active
Parent organization
EMPRES MONTANA HEALTHCARE, L.L.C.
Other names
Livingston Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES MONTANA HEALTHCARE, L.L.C.
Authorized official
BRENT WEIL (CEO AND MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
510 S 14TH ST, LIVINGSTON, MT 59047-3731
(406) 222-0672
(406) 222-1406
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
261QH0700X
Hearing and Speech Clinic/Center
3188
MT
261QP2000X
Physical Therapy Clinic/Center
1858
MT
261QX0100X
Occupational Medicine Clinic/Center
316
MT
314000000X
Skilled Nursing Facility
Primary
10232
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310862
—
MT
Enumeration date
05/05/2006
Last updated
06/14/2017
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