Organization · Type 2 NPI
Evergreen Place LLC
Assisted Living Facility · Midvale, UT
NPI number
1215456777
Active
Practice location
163 E 7800 S
Midvale, UT 84047-2612
Mailing address
PO Box 9193
Midvale, UT 84047-9193
Other practice locations
- 3481 W 3100 S, West Valley, UT 84119-2559 · (801) 921-0070
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.
2 other providers at this address
Other assisted living facility providers in Midvale
About NPI 1215456777
Evergreen Place LLC's National Provider Identifier is 1215456777, issued on Sep 15, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Midvale, UT. The record was last updated on Mar 17, 2018.