Organization · Type 2 NPI
Evergreen Streator, L.p.
Assisted Living Facility · Streator, IL
NPI number
1295980852
Active
Practice location
1529 E Main St
Streator, IL 61364-3162
Fax (815) 672-0639
Mailing address
115 W Jefferson St, Ste 401, PO Box 3188
Bloomington, IL 61701-3946
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.
Other assisted living facility providers in Streator
About NPI 1295980852
Evergreen Streator, L.p.'s National Provider Identifier is 1295980852, issued on Nov 24, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Streator, IL. The record was last updated on Nov 24, 2008.