Organization · Type 2 NPI

Evergreen Living Home Inc.

Adult Care Home Facility · Leicester, NC

NPI number 1861512972 Active

Practice location

103 Country Time Ln
Leicester, NC 28748

Call (828) 779-5588 Map

Mailing address

PO Box 2077
Leicester, NC 28748-2077

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XFCL-011-195 (NC)

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.

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About NPI 1861512972

Evergreen Living Home Inc.'s National Provider Identifier is 1861512972, issued on Mar 30, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Leicester, NC. The record was last updated on Sep 8, 2023.