Evergreen Manor

LBN: Evergreen Manor
Evergreen Manor is an health care organization with primary practice located at 2601 Summit Ave , Everett WA 98201-3309. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Evergreen Manor can be contacted via phone (425) 258-2407, or through Broude, Marcia via phone (425) 258-2407.

Contact Information

Primary practice address
2601 Summit Ave Everett WA 98201-3309
Phone: (425) 258-2407
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Broude, Marcia
Phone: (425) 258-2407

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00006404 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00010886 Washington

Profile Details

NPI number 1760712400
LBN Legal business name Evergreen Manor
DBA Doing business as
Authorized official Broude, Marcia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2009
Last updated Dec 31st, 2009 - about 15 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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