Evergreen Manor Opt Everett

LBN: Evergreen Manor Opt Everett
Evergreen Manor Opt Everett is an health care organization with primary practice located at 2932 Hoyt Ave , Everett WA 98201-4003. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Evergreen Manor Opt Everett can be contacted via phone (425) 259-5842, or through Grant, Linda K via phone (425) 258-2407.

Contact Information

Primary practice address
2932 Hoyt Ave Everett WA 98201-4003
Phone: (425) 259-5842
Fax: (425) 339-2601
Website:
Map and Directions
Authorized official contact:
Name: Grant, Linda K MS CDP
Phone: (425) 258-2407

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 31 1095 00 Washington

Profile Details

NPI number 1124159157
LBN Legal business name Evergreen Manor Opt Everett
DBA Doing business as
Authorized official Grant, Linda K MS CDP
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2007
Last updated Oct 30th, 2007 - about 17 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 1124159157 NPPES
Washington MEDICAID 1990746

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