Organization · Type 2 NPI

Evergreen Residential Care

Assisted Living Facility · Salt Lake City, UT

NPI number 1487719662 Active

Practice location

2374 Evergreen Ave
Salt Lake City, UT 84109-3006

Call (801) 272-2601 Map

Fax (801) 278-3697

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X2919 (UT)

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.

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About NPI 1487719662

Evergreen Residential Care's National Provider Identifier is 1487719662, issued on Dec 27, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 22, 2020.