| NPI | 1760883383 |
|---|---|
| Doing Business As | EVERGREEN HEIGHTS |
| Entity Type | Organization |
| Authorized Contact | THOMAS CARLSON Executive Director 315-834-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 050-E-010) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |