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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN AT GRIDLEY SNF, L.L.C.

Active Organization

EVERGREEN AT GRIDLEY SNF, L.L.C. is a Skilled Nursing Facility organization located in GRIDLEY, California. NPI 1902854755 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · GRIDLEY, CA

Registration Details

NPI Number
1902854755
Provider Type
Organization
NPI Issued
May 4, 2006 (20.099308323611 yrs)
Last Updated
Jan 4, 2010
License
230000047 (CA)

Practice Information

Address
246 SPRUCE ST
GRIDLEY, CA, 959482216
Browse CA providers · Browse ZIP 95948
Phone
5308466266
Fax
5308465132
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Organizations in GRIDLEY, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.