Organization
EVERGREEN OREGON HEALTHCARE MOUNTAIN VISTA,L.L.C.
Active
Parent organization
EMPRES OREGON HEALTHCARE, LLC
Other names
LaGrande Post Acute Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES OREGON HEALTHCARE, LLC
Authorized official
BRENT WEIL (CEO AND MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
91 ARIES LN, LA GRANDE, OR 97850-3309
(541) 963-8678
(541) 963-5024
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
314000000X
Skilled Nursing Facility
Primary
1664
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801035
—
OR
Enumeration date
05/04/2006
Last updated
01/30/2017
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