# EVERGREEN RECIDENCES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215319454
- **Authorized official:** DENNIS HEYD (MANAGER)
- **Authorized official phone:** (775) 787-7960

## Contact information

- **Practice address:** 1305 KINGS CT, RENO, NV 89503-3521
- **Practice address phone:** (775) 787-9520
- **Mailing address:** 327 RIVER FLOW DR, RENO, NV 89523-8934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 3275AGC-17 | NV | Yes |

## Other

- **Enumeration date:** 06/24/2015
- **Last updated:** 06/24/2015
