NPI | 1710156609 |
---|---|
Doing Business As | EVERGREEN PLACE SUPPORTIVE LIVING FACILITY |
Entity Type | Organization |
Authorized Contact | CRAIG L ATER Senior V. P. Of Finance 309-823-7135 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IL 1825445) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2008-04-20 |