Organization · Type 2 NPI
Evergreen Place Decatur, LLC
Assisted Living Facility · Decatur, IL
NPI number
1003188913
Active
Practice location
4825 E Evergreen Court
Decatur, IL 62521
Fax (217) 864-4321
Mailing address
115 W Jefferson St Ste 401
Bloomington, IL 61701-3967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Decatur
About NPI 1003188913
Evergreen Place Decatur, LLC's National Provider Identifier is 1003188913, issued on Feb 8, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Decatur, IL. The record was last updated on Feb 17, 2012.