Organization · Type 2 NPI

Evergreen Living #4

Adult Care Home Facility · Leicester, NC

NPI number 1255452017 Active

Practice location

351 Family Ridge Road
Leicester, NC 28748

Call (828) 779-5588 Map

Mailing address

PO Box 2077
Leicester, NC 28748-2077

Specialties and licenses

Taxonomy	Code	License
Adult Care Home Facility Primary	311ZA0620X	FCL-011-196 (NC)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2 other providers at this address

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About NPI 1255452017

Evergreen Living #4's National Provider Identifier is 1255452017, issued on Apr 2, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Leicester, NC. The record was last updated on Aug 22, 2020.