| 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 |