Evergreen Assisted Living Homes INC
NPI #1316713670 in Chanhassen, Minnesota
Provider Information
- NPI Number
- 1316713670
- Entity Type
- Organization
- Organization Name
- Evergreen Assisted Living Homes INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 28, 2023
- Last Updated
- Jan 19, 2024
Practice Location
- Address
- 1215 LAKE LUCY RD
- City
- Chanhassen
- State
- Minnesota
- ZIP Code
- 55317-9433
- Phone
- (651) 280-0210
Authorized Official
- Name
- EUNIE BUFORD
- Title
- ADMINISTRATOR
- Phone
- (651) 280-0210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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