Organization · Type 2 NPI
Evergreen Manor,inc.
Mental Illness Community Based Residential Treatment Facility · Sparta, WI
NPI number
1386972024
Active
Practice location
8429 Idyllview Ave
Sparta, WI 54656-3617
Fax (608) 487-9067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 0010512 (WI) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2 other providers at this address
Other mental illness community based residential treatment facility providers in Sparta
- Evergreen Manor Iii, IncMental Illness Community Based Residential Treatment Facility Sparta, WI NPI 1033447776
- Evergreen Manor IIMental Illness Community Based Residential Treatment Facility Sparta, WI NPI 1457689192
- Rbi Caring Hearts Llc.Mental Illness Community Based Residential Treatment Facility Sparta, WI NPI 1972221752
About NPI 1386972024
Evergreen Manor,inc.'s National Provider Identifier is 1386972024, issued on Nov 18, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Sparta, WI. The record was last updated on Nov 18, 2009.