| NPI | 1013386788 |
|---|---|
| Doing Business As | THE EVERGREENS OF FARGO-1405 |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA R MOWAN VP Of Finance 651-766-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ND 8045) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |