Evergreen Place Beardstown LLC
NPI #1063974418 in Beardstown, Illinois
Provider Information
- NPI Number
- 1063974418
- Entity Type
- Organization
- Organization Name
- Evergreen Place Beardstown LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HERITAGE ENTERPRISES, INC.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 4, 2019
- Last Updated
- Apr 4, 2019
Practice Location
- Address
- 8570 SAINT LUKES DR
- City
- Beardstown
- State
- Illinois
- ZIP Code
- 62618-9200
- Phone
- (217) 323-1860
Authorized Official
- Name
- DAVID M UNDERWOOD
- Title
- EXEC VP FINANCE & CFO
- Phone
- (309) 823-7135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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