Evergreen Residence

NPI #1467519538 in Reno, Nevada

Provider Information

NPI Number: 1467519538
Entity Type: Organization
Organization Name: Evergreen Residence
Primary Specialty: Assisted Living Facility
Enumeration Date: Jan 2, 2007
Last Updated: Jul 22, 2008

Practice Location

Address: 1305 KINGS CT
City: Reno
State: Nevada
ZIP Code: 89503-3521
Phone: (775) 787-9520

Authorized Official

Name: MRS. AMEI WOO
Title: ADMINISTRATOR
Phone: (775) 787-9520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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