Organization · Type 2 NPI
Evergreen Valley Nursing Home
Adult Care Home Facility · Plattsburgh, NY
NPI number
1316033152
Active
Practice location
8 Bushey Blvd
Plattsburgh, NY 12901-3761
Fax (518) 562-1367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 0901301N (NY) |
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.
3 other providers at this address
Other adult care home facility providers in Plattsburgh
About NPI 1316033152
Evergreen Valley Nursing Home's National Provider Identifier is 1316033152, issued on Oct 5, 2006. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Plattsburgh, NY. The record was last updated on Aug 22, 2020.