Evans Park, INC

NPI #1346730363 in Elk River, Minnesota

Provider Information

NPI Number: 1346730363
Entity Type: Organization
Organization Name: Evans Park, INC
Subpart: Yes (part of a larger organization)
Parent Organization: EVANS PARK, INC.
Primary Specialty: Assisted Living Facility
Enumeration Date: May 15, 2018
Last Updated: May 15, 2018

Practice Location

Address: 13439 185TH LN NW
City: Elk River
State: Minnesota
ZIP Code: 55330-2713
Phone: (763) 241-7682

Authorized Official

Name: TROY HANSON
Title: VP, CFO
Phone: (763) 241-4445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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