Organization · Type 2 NPI

Evergreen Court Home for Adults SP LLC

Assisted Living Facility · Spring Valley, NY

NPI number 1295284453 Active

Practice location

65 Lafayette St
Spring Valley, NY 10977-5184

Mailing address

29 Whispering Pines Ln
Lakewood, NJ 08701-1421

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X620-F-078 (NY)

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.

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About NPI 1295284453

Evergreen Court Home for Adults SP LLC's National Provider Identifier is 1295284453, issued on Sep 29, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Spring Valley, NY. The record was last updated on Sep 29, 2016.