| NPI | 1043494768 |
|---|---|
| Doing Business As | EVERGREEN ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | JOSEPH E WARD CEO 605-332-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SD 41073) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |