Organization · Type 2 NPI
Evergreen Place Beardstown LLC
Assisted Living Facility · Beardstown, IL
NPI number
1063974418
Active
Practice location
8570 Saint Lukes Dr
Beardstown, IL 62618-9200
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.
3 other providers at this address
Other assisted living facility providers in Beardstown
About NPI 1063974418
Evergreen Place Beardstown LLC's National Provider Identifier is 1063974418, issued on Apr 4, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Beardstown, IL. The record was last updated on Apr 4, 2019.