Organization · Type 2 NPI

Evergreen Living Home #4

Assisted Living Facility · Leicester, NC

NPI number 1427255264 Active

About NPI 1427255264

Evergreen Living Home #4's National Provider Identifier is 1427255264, issued on Jun 27, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Leicester, NC. The record was last updated on Aug 22, 2020.