Evergreen Living #5

NPI #1053431957 in Leicester, North Carolina

Provider Information

NPI Number
1053431957
Entity Type
Organization
Organization Name
Evergreen Living #5
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Apr 2, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
231 COUNTRY TIME CIRCLE
ZIP Code
28748
Phone
(828) 779-5588

Authorized Official

Name
YOUNG S LEE
Title
OWNER
Phone
(828) 779-5588

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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