Evergreen Living Home Inc.
NPI #1205956398 in Leicester, North Carolina
Provider Information
- NPI Number
- 1205956398
- Entity Type
- Organization
- Organization Name
- Evergreen Living Home Inc.
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Sep 8, 2023
Practice Location
- Address
- 102 COUNTRY TIME LANE
- City
- Leicester
- State
- North Carolina
- ZIP Code
- 28748
- Phone
- (828) 779-5588
Authorized Official
- Name
- YOUNG SONG LEE
- Title
- OWNER
- Phone
- (828) 779-5588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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