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
- City
- Great Falls
- 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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