Evergreen Manor Opt Everett

  • 1124159157 NPI Number
  • |
  • Actived: 12 years ago
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According to our database, NPI number for Evergreen Manor Opt Everett is 1124159157 and actived since Friday, March 9 2007. Evergreen Manor Opt Everett is an Organization provider specializes in Rehabilitation, Substance Use Disorder. Provider information was last updated on 10/30/2007.

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Overview of Evergreen Manor Opt Everett

  • NPI number: 1932755626
  • Provider type: Organization
  • Specialty: Rehabilitation, Substance Use Disorder
  • Active since: 03/09/2007
  • Last updated: 10/30/2007

Primary Scrop of Practice

  • Taxonomy Code: 261QR0405X
  • Specialty: Rehabilitation, Substance Use Disorder
  • License Number: 31 1095 00
  • License State: WA

Provider Mailing Address

  • Address: Po Box 12598
    Everett, WA 98206
  • Phone: 425-258-2407
  • Fax: 425-339-2601

Provider Practice Location

  • Address: 2932 Hoyt Ave
    Everett, WA 98201
  • Phone: 425-259-5842
  • Fax: 425-339-2601

Authorized Official

  • Name: Linda K Grant MS CDP
  • Position/Title: Executive Director
  • Telephone Number: 425-258-2407

Scope of Practice

  • Taxonomy Code: 261QR0405X
  • Specialty: Rehabilitation, Substance Use Disorder
  • License Number: 31 1095 00
  • License State: WA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1990746
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WA
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Evergreen Manor Opt Everett?
  • A: The npi number for Evergreen Manor Opt Everett is 1124159157.
  • Q: What are Evergreen Manor Opt Everett's specialties?
  • A: Evergreen Manor Opt Everett's specialties are Rehabilitation, Substance Use Disorder and different specialities.
  • Q: Where is Evergreen Manor Opt Everett business practice location?
  • A: Evergreen Manor Opt Everett business practice location is 2932 Hoyt Ave, Everett, WA 98201.
  • Q: How to contact Evergreen Manor Opt Everett?
  • A: You can contact Evergreen Manor Opt Everett via 425-259-5842.
  • Q: What is the authorized official for Evergreen Manor Opt Everett?
  • A: The authorized office name is Linda K Grant MS CDP with position/title is Executive Director and you can reach the authorized official via phone number 4252582407.