Evergreen Glenhaven Operations, LLC
NPI #1013168202 in Alton, Illinois
Provider Information
- NPI Number
- 1013168202
- Entity Type
- Organization
- Organization Name
- Evergreen Glenhaven Operations, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 6, 2008
- Last Updated
- May 18, 2016
Practice Location
Authorized Official
- Name
- DAVID UNDERWOOD
- Title
- EXEC VP & CFO
- Phone
- (309) 823-7135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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