| NPI | 1740666106 |
|---|---|
| Doing Business As | THE EVERGREENS OF FARGO-1411 |
| Entity Type | Organization |
| Authorized Contact | KATHRYN R ROBERTS CEO/President 651-766-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |