EVERGREEN AT MESA, L.L.C.
Nursing at Broadway Rd, Mesa, AZ

License number
Arizona NCA-2627
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: MR. ANDREW V. MARTINI
Title: MANAGER
Phone: (360) 892-6628
Address
Address 2
6458 E Broadway Rd, Mesa, AZ 85206
4601 NE 77Th Ave SUITE 300, Vancouver, WA 98662
National Provider ID: 1275581951
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EVERGREEN AT MESA, L.L.C. at bizstanding.com

Evergreen at Mesa LLC

6458 E Broadway Rd, Mesa, AZ 85206

Industry:
Skilled Nursing Facility, Skilled Nursing Care Facilities
Doing business as:
Evergreen Valley Health and Re
Phone:
(480) 832-5160 (Phone)
Description:
Nursing Care Facilities
Executive Directors:
Dee D. Ramon (Director),Mike Fleming (Director),Andrew V. Martini (Manager),...
SIC:
8051 - Skilled Nursing Care Facilities
Company size:
249

EVERGREEN AT MESA (ALF), LLC

Phoenix, AZ  -  Vancouver, WA

Doing business as:
EVERGREEN AT MESA, LLC
Registration:
Dec 31, 2003
Addresses:
2390 E Camelback Rd, Phoenix, AZ 85016 (Physical)
4601 NE 77 Ave #300, Vancouver, WA 98662 (Foreign)
State ID:
R-1111072-5
Expiration:
PERPETUAL
Agent:
C T Corporation System,2390 E Camelback Rd, Phoenix, AZ 85016 (Physical)

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