Evergreen Living LLC
NPI #1821897992 in Baxter Springs, Kansas
Provider Information
- NPI Number
- 1821897992
- Entity Type
- Organization
- Organization Name
- Evergreen Living LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 11, 2025
- Last Updated
- Mar 11, 2025
Practice Location
- Address
- 445 E 10TH ST
- City
- Baxter Springs
- State
- Kansas
- ZIP Code
- 66713-1614
- Phone
- (620) 856-2756
Authorized Official
- Name
- LARRY ROBERT HIGGINBOTHAM
- Title
- OWNER
- Phone
- (417) 850-3063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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