| NPI | 1003188913 |
|---|---|
| Doing Business As | EVERGREEN PLACE DECATUR SUPPORTIVE LIVING |
| Entity Type | Organization |
| Authorized Contact | CRAIG L ATER Exec VP & CFO 309-823-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-17 |