Evergreen Opco LLC

NPI #1003626862 in Eugene, Oregon

Provider Information

NPI Number: 1003626862
Entity Type: Organization
Organization Name: Evergreen Opco LLC
Primary Specialty: Custodial Care Facility
Enumeration Date: Jan 13, 2025
Last Updated: Jan 13, 2025

Practice Location

Address: 3760 N CLAREY ST
City: Eugene
State: Oregon
ZIP Code: 97402-8744
Phone: (541) 607-9525

Authorized Official

Name: MR. TREVOR WART
Title: MANAGER
Phone: (503) 706-6918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility	311Z00000X	Primary

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