Evergreen Living Home #4
NPI #1427255264 in Leicester, North Carolina
Provider Information
- NPI Number
- 1427255264
- Entity Type
- Organization
- Organization Name
- Evergreen Living Home #4
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 230 COUNTRY TIME CIRCLE
- City
- Leicester
- State
- North Carolina
- ZIP Code
- 28748
- Phone
- (828) 683-8884
Authorized Official
- Name
- MRS. LINDA LEA
- Title
- ADMINISTRATOR
- Phone
- (828) 279-9592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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