NPI | 1376798777 |
---|---|
Doing Business As | EVERGREEN PLACE OF LITCHFIELD SUPPORTIVE LIVING |
Entity Type | Organization |
Authorized Contact | CRAIG L. ATER Senioe V.P. Of Finance 309-828-4361 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2008-11-26 |
Last Update Date | 2008-11-26 |