NPI | 1003626862 |
---|---|
Doing Business As | EVERGREEN SENIOR LIVING COMMUNITY; EVERGREEN MEMORY CARE COMMUNITY |
Entity Type | Organization |
Authorized Contact | TREVOR WART Manager 503-706-6918 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-01-13 |