Organization · Type 2 NPI
Evergreen Place LLC
Adult Care Home Facility · Akeley, MN
NPI number
1326445388
Active
Practice location
23299 285th Ave
Akeley, MN 56433-8020
Fax (218) 652-6710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 1075244 (MN) |
| Respite Care | 385H00000X | 1075464-1HCBS (MN) |
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.
Another provider at this address
About NPI 1326445388
Evergreen Place LLC's National Provider Identifier is 1326445388, issued on Nov 19, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Akeley, MN. The record was last updated on Nov 19, 2014.