Evergreen Independant Living, LLC

NPI #1477806388 in Great Falls, Montana

Provider Information

NPI Number
1477806388
Entity Type
Organization
Organization Name
Evergreen Independant Living, LLC
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Oct 17, 2012
Last Updated
Oct 17, 2012

Practice Location

Address
3805 7TH ST NE TRLR 74
State
Montana
ZIP Code
59404-1152
Phone
(406) 231-6293

Authorized Official

Name
JODY HANKS
Title
OWNER/CEO
Phone
(406) 231-6293

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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