Park Royal Health And Rehabilitation Center

LBN: Evergreen At Park Royal Ii, L.L.C.
Park Royal Health And Rehabilitation Center is an health care organization with primary practice located at 910 16Th Ave , Longview WA 98632-2302. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Evergreen At Park Royal Ii, L.L.C. can be contacted via phone (360) 423-2890, or through Weil, Brent via phone (360) 892-6628.

Contact Information

Primary practice address
910 16Th Ave Longview WA 98632-2302
Phone: (360) 423-2890
Fax: (360) 577-9012
Website:
Map and Directions
Authorized official contact:
Name: Weil, Brent
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH1336 Washington

Profile Details

NPI number 1093700353
LBN Legal business name Evergreen At Park Royal Ii, L.L.C.
DBA Doing business as Park Royal Health And Rehabilitation Center
Authorized official Weil, Brent
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 13th, 2005
Last updated Jan 30th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093700353 NPPES
Washington MEDICAID 4113361
Washington Other NH1336

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