Organization · Type 2 NPI
Evergreen Supported Living
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bellingham, WA
Practice location
305 Flora St
Bellingham, WA 98225-4430
Fax (360) 922-0648
Other practice locations
- 1970 Fraser St Apt 106, Bellingham, WA 98229-3794 · (360) 671-5898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Home Health Aide | 374U00000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1124767587
Evergreen Supported Living's National Provider Identifier is 1124767587, issued on Jun 2, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Bellingham, WA. The record was last updated on Jun 2, 2022.