EVERGREEN PLACE LLC

Assisted Living Facility

Active Organization
NPI: 1487164505

Practice Address

3481 W 3100 S
West Valley City, UT 84119

Phone: (801) 921-0070

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes -

Frequently Asked Questions

NPI 1487164505 is the National Provider Identifier for EVERGREEN PLACE LLC, a Assisted Living Facility provider located in West Valley City, UT. This NPI was enumerated on October 3, 2017.

Quick Facts

NPI
1487164505
Type
Organization
Enumerated
Oct 3, 2017
Last Updated
Oct 3, 2017

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