| NPI | 1518859552 |
|---|---|
| Other Name | EVERGREEN CARE HOME I |
| Entity Type | Organization |
| Authorized Contact | SUKHPREET KAUR Owner 209-851-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |