EA
EVERGREEN AT PETALUMA, L.L.C.
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
PETALUMA, CA
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1104874940
Agency details
Parent orgEMPRES CALIFORNIA HEALTHCARE, L.L.C.
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameBRENT WEIL
TitleCEO AND MANAGER
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