Evergreen Living Home #6

NPI 1023228723 - Assisted Living Facility - 310400000X

NPI Details
NPI 1023228723
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LINDA LINDA
Position ADMINISTRATOR
Phone (828) 683-8550
Fax (828) 683-8551
Practice Location
232 COUNTRY TIME CIRCLE
LEICESTER NC, 28748, US
Phone (828) 683-8550
Fax (828) 683-8551
Business Location
PO BOX 1808
LEICESTER NC, 28748-1808, US
Phone (828) 683-8550
Fax (828) 683-8551
Toxanomy
Taxonomy Code 310400000X
License State North Carolina
License Number FCL-011-244
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According to our database, Evergreen Living Home #6 NPI is 1023228723, taxonomy code is 310400000X and license number is FCL-011-244, license state is located at North Carolina. Evergreen Living Home #6 physically located at 232 Country Time Circle, Leicester NC, 28748. NPI Number 1033115704 has the healthcare provider type.

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1023228723 NPI number is provided on an as is basis without warranty of any kind. 1023228723 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Living Home #6 are for informational purposes only.