Organization
EVERGREEN ISLAND, LLC
Active
Other names
Evergreen
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JANELLE M GARCIA (CEO)
(925) 518-8464
Entity
Organization
Contact information
Practice address
1710 MOUNT DIABLO WAY, LIVERMORE, CA 94551-6937
(925) 518-8464
(925) 380-1668
Mailing address
52 OBSIDIAN WAY, LIVERMORE, CA 94550-9470
(925) 518-8464
(925) 380-1668
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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