Evergreen Manor

LBN: Evergreen Recovery Centers-Lynnwood Detox
Evergreen Manor is an health care organization with primary practice located at 20508 56Th Ave W , Lynnwood WA 98036. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Evergreen Recovery Centers-Lynnwood Detox can be contacted via phone (425) 678-1390, or through Grant, Linda K via phone (425) 493-5310.

Contact Information

Primary practice address
20508 56Th Ave W Lynnwood WA 98036
Phone: (425) 678-1390
Fax: (425) 678-8611
Website:
Map and Directions
Authorized official contact:
Name: Grant, Linda K MS CDP
Phone: (425) 493-5310

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1588184980
LBN Legal business name Evergreen Recovery Centers-Lynnwood Detox
DBA Doing business as Evergreen Manor
Authorized official Grant, Linda K MS CDP
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 27th, 2017
Last updated Jun 27th, 2017 - about 8 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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