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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN RESIDENTIAL CARE

Active Organization

EVERGREEN RESIDENTIAL CARE is a Assisted Living Facility organization located in SALT LAKE CITY, Utah. NPI 1487719662 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · SALT LAKE CITY, UT

Registration Details

NPI Number
1487719662
Provider Type
Organization
NPI Issued
Dec 27, 2006 (19.598946866489 yrs)
Last Updated
Aug 22, 2020
License
2919 (UT)

Practice Information

Address
2374 EVERGREEN AVE
SALT LAKE CITY, UT, 841093006
Browse UT providers · Browse ZIP 84109
Phone
8012722601
Fax
8012783697
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Organizations in SALT LAKE CITY, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.