Organization · Type 2 NPI
Evergreen Nursing Home, LLC
Nursing Facility/Intermediate Care Facility · Evergreen, AL
Practice location
100 Sanders Dr
Evergreen, AL 36401-3306
Fax (251) 578-3786
Mailing address
501 Whetstone St
Monroeville, AL 36460-2615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 12509 (AL) |
Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…
About NPI 1285693762
Evergreen Nursing Home, LLC's National Provider Identifier is 1285693762, issued on Mar 22, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Evergreen, AL. The record was last updated on Mar 6, 2024.