Evergreen Place

NPI #1538287263 in Ellendale, North Dakota

Provider Information

NPI Number
1538287263
Entity Type
Organization
Organization Name
Evergreen Place
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 27, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
241 MAIN STREET
ZIP Code
58436
Phone
(701) 349-4550

Authorized Official

Name
TONY HANSON
Title
ADMINISTRATOR-CEO
Phone
(701) 349-3312

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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