Evergreen At Livingston, L.L.C.
May also be knows as Livingston Health And Rehabilitation Center
Skilled Nursing Facility in Livingston, MT(View on Map)
Legal Business Name
Evergreen At Livingston, L.L.C.
Also Known As
Livingston Health And Rehabilitation Center
NPI Number
1497703896
NPI Type
Organization
Enumeration Date
05/05/2006
Specialties
(Taxonomies)Name
Code
314000000X
261QH0700X
261QX0100X
261QP2000X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Montana
Montana
Montana
Montana
License Number
10232
3188
316
1858
Contact
Information
Purpose
Mailing
Location
Address
4601 NE 77TH AVE
510 S 14TH ST
City
Vancouver
Livingston
State
WA
MT
Postal Code
98662-6736
59047-3731
Country
US
US
Telephone Number
(360) 892-6628
(406) 222-0672
Authorized Official
Name
Brent Weil
Title or Position
CEO AND MANAGER
Telephone Number
(360) 892-6628
Identifiers
Identifier
0310862
Identifier State
MT
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/14/2017
Provider Address
Other Skilled Nursing Facility in Livingston, Montana:
Livingston Snf Operations, Llc
May also be known as Livingston Health & Rehabilitation Center
Livingston, MTSpecialties: Skilled Nursing Facility (Primary)Occupational TherapistPhysical TherapistRegistered Respiratory TherapistSpeech-Language Pathologist