Emeritol Evergreen Lodge Llc

LBN: Emeritol Evergreen Lodge Llc
Emeritol Evergreen Lodge Llc is an health care organization with primary practice located at 31002 14Th Ave S , Federal Way WA 98003-4712. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Emeritol Evergreen Lodge Llc can be contacted via phone (253) 941-0156, or through Leskowicz, Joanne K via phone (414) 918-5000.

Contact Information

Primary practice address
31002 14Th Ave S Federal Way WA 98003-4712
Phone: (253) 941-0156
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leskowicz, Joanne K
Phone: (414) 918-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1710545371
LBN Legal business name Emeritol Evergreen Lodge Llc
DBA Doing business as
Authorized official Leskowicz, Joanne K
Entity Organization
Organization subpart 1 Yes
Enumeration date May 30th, 2019
Last updated May 30th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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