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1104616002
EVERGREEN HAVEN LLC
BAXTER SPRINGS, KS
NPI
1104616002
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Entity Type
Organization
Authorized Contact
LARRY ROBERT HIGGINBOTHAM
Owner
417-850-3063
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2025-05-12
Last Update Date
2025-05-12
Business Address
EVERGREEN HAVEN LLC
445 E 10TH ST
BAXTER SPRINGS, KS 66713-1614
Phone number: 620-304-2108
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Mailing Address
EVERGREEN HAVEN LLC
PO BOX 92
RACINE, MO 64858-0092
Phone number: 417-850-3063
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