NPI | 1679116313 |
---|---|
Doing Business As | EVERGREEN MEMORY CARE |
Entity Type | Organization |
Authorized Contact | WILL FORSYTH Vice President 541-636-3460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2019-10-25 |
Last Update Date | 2019-10-25 |