| NPI | 1962851568 |
|---|---|
| Doing Business As | EVERGREEN LIVING CENTER AT STAGECOACH |
| Entity Type | Organization |
| Authorized Contact | ANTHONY BRANDON ADAMS President/CEO 501-932-0050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-08-25 |