| NPI | 1295980852 |
|---|---|
| Doing Business As | EVERGREEN PLACE OF STREATOR SUPPORTIVE LIVING |
| Entity Type | Organization |
| Authorized Contact | CRAIG L. ATER Senior V.P. Of Finance 309-828-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |