Evergreen Place Decatur, LLC
NPI #1003188913 in Decatur, Illinois
Provider Information
- NPI Number
- 1003188913
- Entity Type
- Organization
- Organization Name
- Evergreen Place Decatur, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 8, 2012
- Last Updated
- Feb 17, 2012
Practice Location
Authorized Official
- Name
- MR. CRAIG L ATER
- Title
- EXEC VP & CFO
- Phone
- (309) 823-7135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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