Evergreen Quality Home
Evergreen Quality Home is an Adult Care Home Facility in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2011.
- Licensed in
- WA
- In the registry since
- 2011
Practice location Address checks out
304 NW 102nd StVancouver, WA 98685-5233
Phone: (360) 885-7933
Fax: (360) 573-7131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 654400 (WA) |
|---|
Record details
| NPI number | 1922391408 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marcia Roial-Craciun — Provider · (360) 885-7933 |
| Other names | Adult Family Home |
| NPI enumerated | May 17, 2011 |
| Last updated in NPPES | May 17, 2011 |
| Mailing address | 304 Nw 102nd St, Vancouver, WA 98685-5233 |
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