Evergreen Living #5

NPI 1053431957 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1053431957
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name YOUNG S YOUNG
Position OWNER
Phone (828) 779-5588
Fax
Practice Location
231 COUNTRY TIME CIRCLE
LEICESTER NC, 28748, US
Phone (828) 779-5588
Fax
Business Location
PO BOX 2077
LEICESTER NC, 28748-2077, US
Phone (828) 779-5588
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number FCL-011-218
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According to our database, Evergreen Living #5 NPI is 1053431957, taxonomy code is 311ZA0620X and license number is FCL-011-218, license state is located at North Carolina. Evergreen Living #5 physically located at 231 Country Time Circle, Leicester NC, 28748. NPI Number 1033115704 has the healthcare provider type.

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1053431957 NPI number is provided on an as is basis without warranty of any kind. 1053431957 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Living #5 are for informational purposes only.